Linda Etheridge
Individual provider Active NPI Registered Nurse · Williston, FL
NPI 1982856449 · NPPES record last updated Oct 15, 2008
Key facts
- NPI
- 1982856449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 1649222 (FL)
- Practice address
- 15050 NE 20TH St
Williston, FL 32696-8846 - Phone
- (352) 538-7727
- NPI assigned
- Oct 15, 2008
- 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 |
|---|---|---|---|
| RN 1649222 | FL | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 1649222 | FL | Yes |
| Case Management Registered Nurse | 163WC0400X | RN 1649222 | FL | |
| Ambulatory Care Registered Nurse | 163WP2201X | RN 1649222 | FL |
Addresses
Primary practice location
15050 NE 20TH St
Williston, FL 32696-8846
Mailing address
15050 NE 20TH St
Williston, FL 32696-8846
Other providers in Williston, FL
- Michelle Yvette Dempsey
- Sarah Elizabeth Dimauro
- Lacey Ebert
- Tyler Greg Egan
- Joyce A Ellis
- Polly Flaxman
- Florida Rehab Specialists, PLLC
- Richard Joseph Fontaine III
- Kendra Claude Fugate
- Heather Mae Fussell
All providers in Williston, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2008. 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.