Provider Demographics
NPI:1245226174
Name:TOLSON, LINDA KAY (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:TOLSON
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 1:208 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:TX
Mailing Address - Zip Code:79714-6308
Mailing Address - Country:US
Mailing Address - Phone:432-524-1434
Mailing Address - Fax:432-524-1461
Practice Address - Street 1:208 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714-6308
Practice Address - Country:US
Practice Address - Phone:432-524-1434
Practice Address - Fax:432-524-1461
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX564529163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management