Provider Demographics
NPI:1619286655
Name:BOCCUTI, LINDA BUSSE (RN, BC FNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:BUSSE
Last Name:BOCCUTI
Suffix:
Gender:F
Credentials:RN, BC FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1001 JOHNSON FERRY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1605
Mailing Address - Country:US
Mailing Address - Phone:404-785-2897
Mailing Address - Fax:404-785-2611
Practice Address - Street 1:1001 JOHNSON FERRY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1605
Practice Address - Country:US
Practice Address - Phone:404-785-2897
Practice Address - Fax:404-785-2611
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN031802 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily