Provider Demographics
NPI:1104242817
Name:LINSKY, TATYANA (RN)
Entity type:Individual
Prefix:
First Name:TATYANA
Middle Name:
Last Name:LINSKY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TATYANA
Other - Middle Name:
Other - Last Name:KOLESNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9974 KIKA CT APT 7417
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-5014
Mailing Address - Country:US
Mailing Address - Phone:760-297-0269
Mailing Address - Fax:
Practice Address - Street 1:9400 RUFFIN COURT BUILDING B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-874-1082
Practice Address - Fax:858-874-1165
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA675138163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse