Provider Demographics
NPI:1538698386
Name:RANDS, LINDA MARIE (RN, BSN, CHPN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:RANDS
Suffix:
Gender:F
Credentials:RN, BSN, CHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-0394
Mailing Address - Country:US
Mailing Address - Phone:443-528-9408
Mailing Address - Fax:443-201-8905
Practice Address - Street 1:2551 BALTIMORE BLVD
Practice Address - Street 2:SUITE 40
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048
Practice Address - Country:US
Practice Address - Phone:443-650-8776
Practice Address - Fax:443-201-8905
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR191376163WH0200X
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163WH0200XNursing Service ProvidersRegistered NurseHome Health