Provider Demographics
NPI:1881737740
Name:GILLESPIE, LINDA LEE (RN, MSN, COHN-SCM)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:RN, MSN, COHN-SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7014 BERRY BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8501
Mailing Address - Country:US
Mailing Address - Phone:330-702-8050
Mailing Address - Fax:330-702-8051
Practice Address - Street 1:7014 BERRY BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-8501
Practice Address - Country:US
Practice Address - Phone:330-702-8050
Practice Address - Fax:330-702-8051
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 218636163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health