Provider Demographics
NPI:1750346284
Name:STEM, LINDA A (ARNP-C)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:STEM
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2618
Mailing Address - Country:US
Mailing Address - Phone:352-732-5365
Mailing Address - Fax:352-732-5372
Practice Address - Street 1:2415 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2618
Practice Address - Country:US
Practice Address - Phone:352-732-5365
Practice Address - Fax:352-732-5372
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1195412363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q29815Medicare UPIN
U3693ZMedicare ID - Type Unspecified