Provider Demographics
NPI:1073848719
Name:BRIGGS, LINDA A (CRNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 64916
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4916
Mailing Address - Country:US
Mailing Address - Phone:443-481-6482
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2001 MEDICAL PKWY
Practice Address - Street 2:ACUTE CARE PAVILION
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:443-481-1000
Practice Address - Fax:443-481-1687
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR066536363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
9169556OtherAETNA PPO
MD418795400Medicaid
6296524OtherAETNA HMO
KJ77AN95859101OtherCAREFIRST MARYLAND
S3990057OtherCAREFIRST
288165OtherKAISER
14524700OtherDEPARTMENT OF LABOR
MD418795400Medicaid
P00889993Medicare PIN
9169556OtherAETNA PPO
KJ77AN95859101OtherCAREFIRST MARYLAND