Provider Demographics
NPI:1194084939
Name:ALANEN, LINDA (RN, LMT, BA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ALANEN
Suffix:
Gender:F
Credentials:RN, LMT, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 QUAKER CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53716-1643
Mailing Address - Country:US
Mailing Address - Phone:608-770-1407
Mailing Address - Fax:608-222-8054
Practice Address - Street 1:113 QUAKER CIR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-1643
Practice Address - Country:US
Practice Address - Phone:608-770-1407
Practice Address - Fax:608-222-8054
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI715-146174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist