Provider Demographics
NPI:1073738274
Name:ECONOMY, LINDA SUSAN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUSAN
Last Name:ECONOMY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:SUSAN
Other - Last Name:POWANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:176 LONG ROW RD
Mailing Address - Street 2:
Mailing Address - City:GILBERTON
Mailing Address - State:PA
Mailing Address - Zip Code:17934-1019
Mailing Address - Country:US
Mailing Address - Phone:570-874-0866
Mailing Address - Fax:570-874-0866
Practice Address - Street 1:176 LONG ROW RD
Practice Address - Street 2:
Practice Address - City:GILBERTON
Practice Address - State:PA
Practice Address - Zip Code:17934-1019
Practice Address - Country:US
Practice Address - Phone:570-874-0866
Practice Address - Fax:570-874-0866
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN094459L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse