Provider Demographics
NPI:1851388342
Name:MCDANOLDS, LINDA C (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:MCDANOLDS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 S GEAR AVE
Mailing Address - Street 2:
Mailing Address - City:W BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1682
Mailing Address - Country:US
Mailing Address - Phone:319-768-3240
Mailing Address - Fax:319-768-3245
Practice Address - Street 1:19942 ST. JOSEPH DRIVE
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-8849
Practice Address - Country:US
Practice Address - Phone:641-856-8684
Practice Address - Fax:614-856-3009
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00117417163W00000X
WAAP30006829363L00000X
IAH-099087363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9642968Medicaid
WAP00413332OtherRR MEDICARE
WA8860701Medicare PIN
Q30999Medicare UPIN