Provider Demographics
NPI:1316054000
Name:AULD, LINDA LOUISE (NP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LOUISE
Last Name:AULD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1917 WALLENBERG DRIVE
Mailing Address - Street 2:
Mailing Address - City:FT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1965
Mailing Address - Country:US
Mailing Address - Phone:970-224-2441
Mailing Address - Fax:970-493-0729
Practice Address - Street 1:805 S SHIELDS ST
Practice Address - Street 2:PLANNED PARENTHOOD
Practice Address - City:FT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521
Practice Address - Country:US
Practice Address - Phone:970-493-0281
Practice Address - Fax:970-493-0729
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91427363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59429755Medicaid