Provider Demographics
NPI:1508986449
Name:CONNORS, LINDA LORENE (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LORENE
Last Name:CONNORS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:BLANCHETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN NURSING DIRECT
Mailing Address - Street 1:180 PRICE ST LOT 10
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9794
Mailing Address - Country:US
Mailing Address - Phone:907-747-3711
Mailing Address - Fax:800-521-1673
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-8431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKRN 18608163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKRN 18608OtherREGESTERED NURSE LIC.