Provider Demographics
NPI:1689181034
Name:LINN, JOY
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:LINN
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 1:17641 HIGHWAY 243
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:MT
Mailing Address - Zip Code:59261-9546
Mailing Address - Country:US
Mailing Address - Phone:406-527-3446
Mailing Address - Fax:
Practice Address - Street 1:17641 HIGHWAY 243
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:MT
Practice Address - Zip Code:59261-9546
Practice Address - Country:US
Practice Address - Phone:406-527-3446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT127357363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily