Provider Demographics
NPI:1033000468
Name:ANDERSON, LINDA (RN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ANDERSON
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 1:87 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02071-1042
Mailing Address - Country:US
Mailing Address - Phone:774-226-6577
Mailing Address - Fax:
Practice Address - Street 1:87 SUMMER ST
Practice Address - Street 2:
Practice Address - City:SOUTH WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02071-1042
Practice Address - Country:US
Practice Address - Phone:774-226-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2286498163WH1000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice