Provider Demographics
NPI:1336242494
Name:PIMENTA, LINDA M (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:PIMENTA
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 CHESTNUT ST FL 1
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3011
Mailing Address - Country:US
Mailing Address - Phone:603-661-0305
Mailing Address - Fax:603-945-7118
Practice Address - Street 1:771 CHESTNUT ST FL 1
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3011
Practice Address - Country:US
Practice Address - Phone:603-661-0305
Practice Address - Fax:603-945-7118
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN276121363LF0000X, 363LP0808X
NH041037-23363LP0808X
NH041037-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNP5311Medicare PIN
NHQ67228Medicare UPIN