Provider Demographics
NPI:1083718704
Name:DO, LINDA XUAN (RN, MS, FNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:XUAN
Last Name:DO
Suffix:
Gender:F
Credentials:RN, MS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4066
Mailing Address - Country:US
Mailing Address - Phone:866-224-4662
Mailing Address - Fax:718-509-3584
Practice Address - Street 1:2825 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:866-224-4662
Practice Address - Fax:718-509-3584
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333916-1163WD0400X, 163WG0000X
NYF333916363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice