Provider Demographics
NPI:1609645373
Name:FLINN, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FLINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51473 EATON RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:45770-9720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:51473 EATON RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OH
Practice Address - Zip Code:45770-9720
Practice Address - Country:US
Practice Address - Phone:740-843-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant