Provider Demographics
NPI:1235449141
Name:MCCORMICK, LINDA CHRISTINE (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CHRISTINE
Last Name:MCCORMICK
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 1:33 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-1761
Mailing Address - Country:US
Mailing Address - Phone:716-785-6335
Mailing Address - Fax:716-785-6138
Practice Address - Street 1:33 CHURCH ST
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-1761
Practice Address - Country:US
Practice Address - Phone:167-856-3357
Practice Address - Fax:716-785-6138
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308505-1163WH0200X
NY308505-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health