Pamela S Lininger, LPN
Individual provider Active NPI Licensed Practical Nurse · Broken Bow, OK
NPI 1821420191 · NPPES record last updated Aug 8, 2013
Key facts
- NPI
- 1821420191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L0033335 (OK)
- Practice address
- 402 S McClure St
Broken Bow, OK 74728-4736 - Phone
- (580) 236-4268
- Fax
- (580) 584-2537
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0033335 | OK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L0033335 | OK | Yes |
Addresses
Primary practice location
402 S McClure St
Broken Bow, OK 74728-4736
Mailing address
402 S McClure St
Broken Bow, OK 74728-4736
Phone (580) 236-4268
Other providers in Broken Bow, OK
- Kylah Cheyenne Kelly
- Kiamichi Family Medical Center Inc.
- Kiamichi Family Medical Center, Inc
- Mark R Lanka
- Tabatha Leforce
- Marie Irene Loucks
- Misti D Luke
- Makayla Briann March
- Conager Ray McBroom
- McCurtain Family Medical Clinic
All providers in Broken Bow, OK · Licensed Practical Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.