Linda Esch, NP

Individual provider Active NPI Family Nurse Practitioner · Mio, MI

NPI 1790738375 · NPPES record last updated May 20, 2016

Key facts

NPI
1790738375
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704141842 (MI)
Practice address
558 Lockwood LN
Mio, MI 48647-9387
Phone
(989) 826-9271
Fax
(989) 826-7139
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704141842MIMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704141842 MI Yes

Addresses

Primary practice location

558 Lockwood LN
Mio, MI 48647-9387

Mailing address

4071 24TH Ave
PO Box 460
Fort Gratiot, MI 48059-3801
Phone (810) 824-4222

Other identifiers

IdentifierTypeStateIssuer
4747273MedicaidMI
4704141842OtherMIMI LICENSE
4747282MedicaidMI

Other providers in Mio, MI

All providers in Mio, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.