Provider Demographics
NPI:1710266622
Name:ADDANTE, LINDA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:ADDANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MCKENNA RD
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-9426
Mailing Address - Country:US
Mailing Address - Phone:802-649-5286
Mailing Address - Fax:
Practice Address - Street 1:7 CAMPUS CENTER RD
Practice Address - Street 2:KIMBALL UNION ACADEMY HEALTH CENTER
Practice Address - City:MERIDEN
Practice Address - State:NH
Practice Address - Zip Code:03770-5402
Practice Address - Country:US
Practice Address - Phone:603-469-2055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH71432084P0800X
VT042.00122312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry