Provider Demographics
NPI:1821486994
Name:WINDEY, LINDA ARLINE (LPN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ARLINE
Last Name:WINDEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2588 US ROUTE 11 TRLR 13
Mailing Address - Street 2:
Mailing Address - City:PARISH
Mailing Address - State:NY
Mailing Address - Zip Code:13131-3268
Mailing Address - Country:US
Mailing Address - Phone:315-341-8829
Mailing Address - Fax:
Practice Address - Street 1:2588 US ROUTE 11 TRLR 13
Practice Address - Street 2:
Practice Address - City:PARISH
Practice Address - State:NY
Practice Address - Zip Code:13131-3268
Practice Address - Country:US
Practice Address - Phone:315-341-8829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-24
Last Update Date:2014-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294129164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse