Provider Demographics
NPI:1437435666
Name:STEVENS, LINDA B (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:B
Last Name:STEVENS
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 1:329 SAND CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2938
Mailing Address - Country:US
Mailing Address - Phone:518-459-1333
Mailing Address - Fax:518-459-0285
Practice Address - Street 1:329 SAND CREEK RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2938
Practice Address - Country:US
Practice Address - Phone:518-459-1333
Practice Address - Fax:518-459-0285
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251677-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse