Provider Demographics
NPI:1467739235
Name:CANTERBURY, LINDA C (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:C
Last Name:CANTERBURY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:CAROLYN
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:100 RICE MINE RD N
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2300
Mailing Address - Country:US
Mailing Address - Phone:205-349-4200
Mailing Address - Fax:205-349-4285
Practice Address - Street 1:100 RICE MINE RD N
Practice Address - Street 2:SUITE B
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2300
Practice Address - Country:US
Practice Address - Phone:205-349-4200
Practice Address - Fax:205-349-4285
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-042870363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner