Provider Demographics
NPI:1295581684
Name:DALLAND, LINDA NANCY
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:NANCY
Last Name:DALLAND
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 1:726 MCINDOE ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-4919
Mailing Address - Country:US
Mailing Address - Phone:715-581-0894
Mailing Address - Fax:
Practice Address - Street 1:726 MCINDOE ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-4919
Practice Address - Country:US
Practice Address - Phone:715-581-0894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI168684163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice