Provider Demographics
NPI:1427436229
Name:LOUTHAN, LINDA BATISTA (MSN FNP-BC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:BATISTA
Last Name:LOUTHAN
Suffix:
Gender:F
Credentials:MSN FNP-BC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:BATISTA
Other - Last Name:BAILLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8160 NITTANY RD
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5320
Mailing Address - Country:US
Mailing Address - Phone:352-584-5528
Mailing Address - Fax:
Practice Address - Street 1:12220 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-2631
Practice Address - Country:US
Practice Address - Phone:352-556-5216
Practice Address - Fax:352-556-5218
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9273200146D00000X
FLAPRN9273200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant