Provider Demographics
NPI:1427345271
Name:OHER, LINDA ELAINA (ARNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ELAINA
Last Name:OHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 HOLLYWOOD BLVD
Mailing Address - Street 2:STE 3
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6547
Mailing Address - Country:US
Mailing Address - Phone:954-966-7337
Mailing Address - Fax:954-966-4233
Practice Address - Street 1:4811 HOLLYWOOD BLVD
Practice Address - Street 2:STE 3
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6547
Practice Address - Country:US
Practice Address - Phone:954-966-7337
Practice Address - Fax:954-966-4233
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2628882363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics