Provider Demographics
NPI:1538497466
Name:GOLTERMAN, LINDA (APRN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GOLTERMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 SILVER SPRING RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-1030
Mailing Address - Country:US
Mailing Address - Phone:203-834-2038
Mailing Address - Fax:
Practice Address - Street 1:83 SAND PIT RD
Practice Address - Street 2:CHILDCARE ASSOCIATES
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4035
Practice Address - Country:US
Practice Address - Phone:203-791-9599
Practice Address - Fax:203-791-8100
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004233363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics