Provider Demographics
NPI:1386969319
Name:RAKOSNIK, LINDA IRENE
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:IRENE
Last Name:RAKOSNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7938 CASTLE POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-8382
Mailing Address - Country:US
Mailing Address - Phone:850-430-3400
Mailing Address - Fax:
Practice Address - Street 1:7938 CASTLE POINTE WAY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-8382
Practice Address - Country:US
Practice Address - Phone:850-430-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9261008163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse