Provider Demographics
NPI:1780989012
Name:OVERLAND-SMITH, LINDA L (RN)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:OVERLAND-SMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16416 3RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5951
Mailing Address - Country:US
Mailing Address - Phone:425-743-4959
Mailing Address - Fax:
Practice Address - Street 1:4176 LIND AVE SW
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4973
Practice Address - Country:US
Practice Address - Phone:425-226-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00152716163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse