Provider Demographics
NPI:1770906067
Name:ZANE, LINDA JEANETTE (MSN, FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JEANETTE
Last Name:ZANE
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:JEANETTE
Other - Last Name:FITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 SISTER MARY COLUMBA DR
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-4356
Mailing Address - Country:US
Mailing Address - Phone:530-527-0414
Mailing Address - Fax:
Practice Address - Street 1:2450 SISTER MARY COLUMBA DR
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-4356
Practice Address - Country:US
Practice Address - Phone:530-527-0414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459308163W00000X
CA95000360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM53955FMedicaid
CAGR0089250Medicaid
CARHM53955FMedicaid
CAGR0089250Medicaid
CA553957Medicare PIN
CAYYY20230YMedicare Oscar/Certification