Provider Demographics
NPI:1598735193
Name:APPLEBY, LINDA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:APPLEBY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1853 CATHEDRAL GLN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-3030
Mailing Address - Country:US
Mailing Address - Phone:760-746-4032
Mailing Address - Fax:
Practice Address - Street 1:1000 PARK FORTY PLZ
Practice Address - Street 2:SUITE 280
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5249
Practice Address - Country:US
Practice Address - Phone:919-768-4642
Practice Address - Fax:919-382-5172
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA349145363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner