Provider Demographics
NPI:1114367893
Name:MORS, LINDA MARY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARY
Last Name:MORS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16923 HUBER AVE NW
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55320-2150
Mailing Address - Country:US
Mailing Address - Phone:612-240-9169
Mailing Address - Fax:
Practice Address - Street 1:16923 HUBER AVE NW
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:MN
Practice Address - Zip Code:55320-2150
Practice Address - Country:US
Practice Address - Phone:612-340-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1244739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse