Provider Demographics
NPI:1396598611
Name:CARRINGTON, LINDA FAE I
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:FAE
Last Name:CARRINGTON
Suffix:I
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 1:4064 BURTON ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-2733
Mailing Address - Country:US
Mailing Address - Phone:313-879-7280
Mailing Address - Fax:
Practice Address - Street 1:20174 WOODWORTH
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-1126
Practice Address - Country:US
Practice Address - Phone:313-879-7280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider