Provider Demographics
NPI:1477698066
Name:DODDS, LINDA CATHERINE (RN, MS, CFNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CATHERINE
Last Name:DODDS
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Gender:F
Credentials:RN, MS, CFNP
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Mailing Address - Street 1:875 BLAKE WILBUR DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-2205
Mailing Address - Country:US
Mailing Address - Phone:650-723-7621
Mailing Address - Fax:650-725-9113
Practice Address - Street 1:875 BLAKE WILBUR DRIVE
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5820
Practice Address - Country:US
Practice Address - Phone:650-723-7621
Practice Address - Fax:650-725-9113
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2016-07-25
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Provider Licenses
StateLicense IDTaxonomies
CA226800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS51303Medicare UPIN