Provider Demographics
NPI:1104067958
Name:REIMERS, LINDA SUSAN (NNP-BC, MSN, RN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUSAN
Last Name:REIMERS
Suffix:
Gender:F
Credentials:NNP-BC, MSN, RN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:SUSAN
Other - Last Name:SCHAFFRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP-BC, MSN, RN
Mailing Address - Street 1:12173 N MAKAYLA CANYON LN
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1629
Mailing Address - Country:US
Mailing Address - Phone:208-206-8472
Mailing Address - Fax:
Practice Address - Street 1:6200 N LACHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-742-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-07
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-1095A163WN0002X
AZAP11646363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care