Provider Demographics
NPI:1356393946
Name:LOVE, LINDA L (RN, MS, CRRN, CNS)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:LOVE
Suffix:
Gender:F
Credentials:RN, MS, CRRN, CNS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:SCI SERVICE/128
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-849-0131
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:SCI SERVICE/128
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-849-0131
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA366913163WR0400X
CA1342364SR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
Not Answered364SR0400XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA366913OtherRN LICENSE
CA1342OtherCNS LICENSE