Provider Demographics
NPI:1386211035
Name:GENTRY, LINDA A (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:GENTRY
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 1:7250 GATEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-3564
Mailing Address - Country:US
Mailing Address - Phone:513-912-6834
Mailing Address - Fax:513-973-4006
Practice Address - Street 1:7250 GATEWAY AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-3564
Practice Address - Country:US
Practice Address - Phone:513-912-6834
Practice Address - Fax:513-973-4006
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN444417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse