Provider Demographics
NPI:1639214950
Name:ZELLERS, LINDA S (LINDA ZELLERS, RNFA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:ZELLERS
Suffix:
Gender:F
Credentials:LINDA ZELLERS, RNFA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:ZELLERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 MONTIA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2209
Mailing Address - Country:US
Mailing Address - Phone:714-730-2631
Mailing Address - Fax:714-731-7968
Practice Address - Street 1:24411 HEALTH CENTER DR
Practice Address - Street 2:SUITE 350
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3651
Practice Address - Country:US
Practice Address - Phone:949-457-7911
Practice Address - Fax:949-583-9148
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA263468163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA263468OtherREGISTERED NURSE