Provider Demographics
NPI:1508674102
Name:WILKINS, LINNA ANSARY
Entity type:Individual
Prefix:
First Name:LINNA
Middle Name:ANSARY
Last Name:WILKINS
Suffix:
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 1:10311 BRUNSWICK CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-1862
Mailing Address - Country:US
Mailing Address - Phone:612-209-0636
Mailing Address - Fax:
Practice Address - Street 1:10311 BRUNSWICK CIR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55438-1862
Practice Address - Country:US
Practice Address - Phone:651-421-1317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula