Provider Demographics
NPI:1295812675
Name:LARNED, LINDA RAE (RN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:RAE
Last Name:LARNED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 DUTCH MILL DR
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2185
Mailing Address - Country:US
Mailing Address - Phone:810-659-1184
Mailing Address - Fax:
Practice Address - Street 1:301 DUTCH MILL DR
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-2185
Practice Address - Country:US
Practice Address - Phone:810-659-1184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704093615163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health