Provider Demographics
NPI:1467648592
Name:PRICE, LINDA KAY (RN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:PRICE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37155 BIRCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-6531
Mailing Address - Country:US
Mailing Address - Phone:907-398-8321
Mailing Address - Fax:907-312-1871
Practice Address - Street 1:37155 BIRCHWOOD ST
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-6531
Practice Address - Country:US
Practice Address - Phone:907-398-8321
Practice Address - Fax:907-312-1871
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK25593163W00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171M00000XOther Service ProvidersCase Manager/Care Coordinator