Provider Demographics
NPI:1619723384
Name:TOMSHO, LINDA JOHNSON (CPD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOHNSON
Last Name:TOMSHO
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-1531
Mailing Address - Country:US
Mailing Address - Phone:412-600-4435
Mailing Address - Fax:
Practice Address - Street 1:222 ELM ST
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-1531
Practice Address - Country:US
Practice Address - Phone:412-600-4435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA19062374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula