Provider Demographics
NPI:1003236985
Name:SAMPSON, LINDA WHITBY (CRNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:WHITBY
Last Name:SAMPSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:SAMPSON
Other - Last Name:GLICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:206 SWEET GUM ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238
Mailing Address - Country:US
Mailing Address - Phone:412-826-8552
Mailing Address - Fax:
Practice Address - Street 1:206 SWEET GUM ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:412-826-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001051C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health