Provider Demographics
NPI:1659547289
Name:STANGER, LINLEY MAURINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINLEY
Middle Name:MAURINE
Last Name:STANGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 ALISSA CT
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5647
Mailing Address - Country:US
Mailing Address - Phone:831-630-5870
Mailing Address - Fax:831-630-5870
Practice Address - Street 1:751 ALISSA CT
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5647
Practice Address - Country:US
Practice Address - Phone:831-630-5870
Practice Address - Fax:831-630-5870
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDN9682163W00000X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse