Provider Demographics
NPI:1083702435
Name:BILES, LINDA MARIE (CRNA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:BILES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:POLCARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 LAMANCHA WAY
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MI
Mailing Address - Zip Code:01810
Mailing Address - Country:US
Mailing Address - Phone:978-689-4713
Mailing Address - Fax:978-389-4713
Practice Address - Street 1:155 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-756-2012
Practice Address - Fax:781-756-2987
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NA469Medicare ID - Type Unspecified