Provider Demographics
NPI:1922194844
Name:MEYER, LINDA (RNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919
Mailing Address - Country:US
Mailing Address - Phone:401-521-6080
Mailing Address - Fax:401-521-6092
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:SUITE 245
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919
Practice Address - Country:US
Practice Address - Phone:401-521-6080
Practice Address - Fax:401-521-6092
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP26661363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
RINNP26661OtherSTATE LIC #
RINNP26661OtherSTATE LIC #