Provider Demographics
NPI:1518944867
Name:HUMES, LINDA GARRETT (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GARRETT
Last Name:HUMES
Suffix:
Gender:F
Credentials:FNP
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:91-1036 KALEHUNA ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2768
Mailing Address - Country:US
Mailing Address - Phone:808-674-2667
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
Practice Address - City:TRIPLER AMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-2460
Practice Address - Fax:808-433-1558
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN034215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADOOOMedicare UPIN