Provider Demographics
NPI:1982655205
Name:ROSENDALE, LINDA NATALIE (CRNA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:NATALIE
Last Name:ROSENDALE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N DIXIE HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2712
Mailing Address - Country:US
Mailing Address - Phone:561-833-8893
Mailing Address - Fax:561-838-4397
Practice Address - Street 1:200 NORTHPOINT PKWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1967
Practice Address - Country:US
Practice Address - Phone:561-833-8893
Practice Address - Fax:561-838-4397
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1116932367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG1196WMedicare ID - Type Unspecified