Provider Demographics
NPI:1417117334
Name:REIMER, LINDA (RN/CC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:REIMER
Suffix:
Gender:F
Credentials:RN/CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S CENTURY CIR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-8520
Mailing Address - Country:US
Mailing Address - Phone:907-375-3104
Mailing Address - Fax:907-373-5170
Practice Address - Street 1:1301 S CENTURY CIR
Practice Address - Street 2:N/A
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8520
Practice Address - Country:US
Practice Address - Phone:907-375-3104
Practice Address - Fax:907-373-5170
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5791171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator