Provider Demographics
NPI:1740464635
Name:GWINN, LINDA CHRISTINE (MN, RN, CNS, CCRN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CHRISTINE
Last Name:GWINN
Suffix:
Gender:F
Credentials:MN, RN, CNS, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14204 NE SALMON CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-9600
Mailing Address - Country:US
Mailing Address - Phone:360-546-9038
Mailing Address - Fax:
Practice Address - Street 1:14204 NE SALMON CREEK AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-9600
Practice Address - Country:US
Practice Address - Phone:360-546-9038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00045393163W00000X
OR163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse