Provider Demographics
NPI:1811774813
Name:LINDA TOWLE PSYCHIATRIC MENTAL HEALTH NURSING SERVICES PMH-NP INC
Entity type:Organization
Organization Name:LINDA TOWLE PSYCHIATRIC MENTAL HEALTH NURSING SERVICES PMH-NP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TOWLE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:510-461-1542
Mailing Address - Street 1:95 MONTGOMERY DR STE 222
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-6629
Mailing Address - Country:US
Mailing Address - Phone:707-579-1968
Mailing Address - Fax:707-542-1970
Practice Address - Street 1:95 MONTGOMERY DR STE 222
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-6629
Practice Address - Country:US
Practice Address - Phone:707-579-1968
Practice Address - Fax:707-542-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty