Provider Demographics
NPI:1295004414
Name:VENTURA, LINDA MAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MAY
Last Name:VENTURA
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 1:1112 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:NY
Mailing Address - Zip Code:13340-4619
Mailing Address - Country:US
Mailing Address - Phone:315-733-9844
Mailing Address - Fax:
Practice Address - Street 1:1151 ALBANY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-3372
Practice Address - Country:US
Practice Address - Phone:315-368-6502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351868-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse