Provider Demographics
NPI:1922413012
Name:SMALTZ, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SMALTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 HEATHERVIEW CT
Mailing Address - Street 2:APT L
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-2964
Mailing Address - Country:US
Mailing Address - Phone:419-427-0367
Mailing Address - Fax:
Practice Address - Street 1:934 HEATHERVIEW CT
Practice Address - Street 2:APT L
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-2964
Practice Address - Country:US
Practice Address - Phone:419-427-0367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.081530-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse