Provider Demographics
NPI:1558322362
Name:STOLL, LINDA RUTH (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:RUTH
Last Name:STOLL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6541 CARLSBAD DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4188
Mailing Address - Country:US
Mailing Address - Phone:402-486-0078
Mailing Address - Fax:
Practice Address - Street 1:BMH/LGH MEDICAL CENTER (EAST)
Practice Address - Street 2:48TH AND SUMNER STREETS
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-481-3289
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26998163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse