Provider Demographics
NPI:1093705188
Name:O'GARA, LINDA M (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:O'GARA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:DUENSING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2310 60TH STREET CT N
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209
Mailing Address - Country:US
Mailing Address - Phone:941-792-4993
Mailing Address - Fax:630-548-0276
Practice Address - Street 1:2310 60TH STREET CT N
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209
Practice Address - Country:US
Practice Address - Phone:941-792-4993
Practice Address - Fax:630-548-0276
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41257364363L00000X
IL209001801363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P75107Medicare UPIN
IL203717Medicare PIN
IL203721Medicare PIN