Provider Demographics
NPI:1477203040
Name:LINDEN, PAMILYN NELL
Entity Type:Individual
Prefix:
First Name:PAMILYN
Middle Name:NELL
Last Name:LINDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAMILYN
Other - Middle Name:N
Other - Last Name:TOWNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40700 PARSONS RD
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:OH
Mailing Address - Zip Code:44050-9508
Mailing Address - Country:US
Mailing Address - Phone:440-506-6082
Mailing Address - Fax:
Practice Address - Street 1:40700 PARSONS RD
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:OH
Practice Address - Zip Code:44050-9508
Practice Address - Country:US
Practice Address - Phone:440-506-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-26
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide