Provider Demographics
NPI:1952491896
Name:SAARISTO, LINDA LOU
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LOU
Last Name:SAARISTO
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 1:40 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:SILVER BAY
Mailing Address - State:MN
Mailing Address - Zip Code:55614-1207
Mailing Address - Country:US
Mailing Address - Phone:218-226-3804
Mailing Address - Fax:
Practice Address - Street 1:62 EDWARDS DR
Practice Address - Street 2:
Practice Address - City:SILVER BAY
Practice Address - State:MN
Practice Address - Zip Code:55614-1251
Practice Address - Country:US
Practice Address - Phone:218-226-3759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide