Provider Demographics
NPI:1225356827
Name:WHITMORE, LINDA MICHELLE (RN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MICHELLE
Last Name:WHITMORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:DARLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 RABBIT RUN RD
Mailing Address - Street 2:
Mailing Address - City:PRESTON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:18455-1016
Mailing Address - Country:US
Mailing Address - Phone:570-798-2771
Mailing Address - Fax:
Practice Address - Street 1:114 RABBIT RUN RD
Practice Address - Street 2:
Practice Address - City:PRESTON PARK
Practice Address - State:PA
Practice Address - Zip Code:18455-1016
Practice Address - Country:US
Practice Address - Phone:570-798-2771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY602604-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse