Provider Demographics
NPI:1376087783
Name:SANTOS, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SANTOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 WESTBANK EXPY
Mailing Address - Street 2:SUITE 550
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-4366
Mailing Address - Country:US
Mailing Address - Phone:504-247-9120
Mailing Address - Fax:504-247-9125
Practice Address - Street 1:1901 WESTBANK EXPY
Practice Address - Street 2:SUITE 550
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-4366
Practice Address - Country:US
Practice Address - Phone:504-247-9120
Practice Address - Fax:504-247-9125
Is Sole Proprietor?:No
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA136212163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse