Provider Demographics
NPI:1790807956
Name:VANDEUSEN, LINDA L (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:VANDEUSEN
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:PO BOX 1121
Mailing Address - Street 2:84 BLAIR LANE
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-1121
Mailing Address - Country:US
Mailing Address - Phone:413-229-8371
Mailing Address - Fax:
Practice Address - Street 1:25 MAIN ST.
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01261-0952
Practice Address - Country:US
Practice Address - Phone:413-298-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA183158163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health