Provider Demographics
NPI:1740420470
Name:GREENWOOD, LINDA LENORA (LPN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LENORA
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LENORA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:480 CENTRAL AVE
Mailing Address - Street 2:MEDICAL STAFF SERVICES PROFESSIONAL DIVISION
Mailing Address - City:PEARL HARBOR
Mailing Address - State:HI
Mailing Address - Zip Code:96860-4908
Mailing Address - Country:US
Mailing Address - Phone:808-471-1866
Mailing Address - Fax:
Practice Address - Street 1:480 CENTRAL AVE
Practice Address - Street 2:MEDICAL STAFF SERVICES PROFESSIONAL DIVISION
Practice Address - City:PEARL HARBOR
Practice Address - State:HI
Practice Address - Zip Code:96860-4908
Practice Address - Country:US
Practice Address - Phone:808-471-1866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10392164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse