Provider Demographics
NPI:1669437737
Name:MARR, LINDA LEE (NP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:MARR
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9761 TOSCANO DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-4012
Mailing Address - Country:US
Mailing Address - Phone:916-627-6472
Mailing Address - Fax:916-689-8943
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-689-3433
Practice Address - Fax:916-689-8943
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2024-04-04
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Provider Licenses
StateLicense IDTaxonomies
CA15284363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health