Provider Demographics
NPI:1407039209
Name:FOLEY, LINDA SARANDON (ARNP, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SARANDON
Last Name:FOLEY
Suffix:
Gender:F
Credentials:ARNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 BOWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2413
Mailing Address - Country:US
Mailing Address - Phone:561-373-6517
Mailing Address - Fax:
Practice Address - Street 1:1636 BOWOOD RD
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2413
Practice Address - Country:US
Practice Address - Phone:561-373-6517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN863972163W00000X
FLARNP863972367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG4568OtherBCBS OF FLORIDA
FL000262200Medicaid
FLG4568OtherBCBS OF FLORIDA