Provider Demographics
NPI:1225304579
Name:COHEN, LINDA (APRN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 MILLENNIUM PKWY
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3895
Mailing Address - Country:US
Mailing Address - Phone:813-615-7620
Mailing Address - Fax:813-971-7953
Practice Address - Street 1:1218 MILLENNIUM PKWY
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-3895
Practice Address - Country:US
Practice Address - Phone:813-615-7620
Practice Address - Fax:813-971-7953
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00151500363LA2200X
FLAPRN9479552363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health