Provider Demographics
NPI:1104938828
Name:HIMMEL, LINDA C (MSN, ARNP, BC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:HIMMEL
Suffix:
Gender:F
Credentials:MSN, ARNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PARRISH ST.
Mailing Address - Street 2:(M.M. EWING CONTINUING CARE)
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424
Mailing Address - Country:US
Mailing Address - Phone:585-396-6071
Mailing Address - Fax:
Practice Address - Street 1:350 PARRISH ST.
Practice Address - Street 2:(M.M. EWING CONTINUING CARE)
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424
Practice Address - Country:US
Practice Address - Phone:585-396-6071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336266-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology