Provider Demographics
NPI:1891792388
Name:STEARNS, LINDA H (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:H
Last Name:STEARNS
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 1:1201 5TH AVE N
Mailing Address - Street 2:SUITE 505
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1455
Mailing Address - Country:US
Mailing Address - Phone:727-821-0017
Mailing Address - Fax:727-502-8861
Practice Address - Street 1:303 PINELLAS ST
Practice Address - Street 2:SUITE 330
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3809
Practice Address - Country:US
Practice Address - Phone:727-447-8100
Practice Address - Fax:727-461-2603
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1435602163WX0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00626894OtherMEDICARE RR
Y8205OtherBLUE CROSS / BLUE SHIELD
FL300667100Medicaid
FL300667100Medicaid
Y8205OtherBLUE CROSS / BLUE SHIELD
FLP00626894OtherMEDICARE RR