Provider Demographics
NPI:1508456039
Name:ANDERS, LINDA MARIE (DNP, MBA, APRN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:ANDERS
Suffix:
Gender:
Credentials:DNP, MBA, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 15TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-4403
Mailing Address - Country:US
Mailing Address - Phone:630-200-4257
Mailing Address - Fax:
Practice Address - Street 1:855 ILLINI DR STE 300
Practice Address - Street 2:
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-2904
Practice Address - Country:US
Practice Address - Phone:309-281-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA141261163WC1600X
IAA181467363LF0000X
IL209030603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development