Provider Demographics
NPI:1174849558
Name:CASE, LINDA (APN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:CASE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SCHAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:4306B TARNBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2632
Mailing Address - Country:US
Mailing Address - Phone:856-234-6848
Mailing Address - Fax:
Practice Address - Street 1:765 E ROUTE 70 BLDG A
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2341
Practice Address - Country:US
Practice Address - Phone:856-983-3900
Practice Address - Fax:856-810-0110
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-11
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00032300363L00000X
PAVP006555M363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner