Provider Demographics
NPI:1528629995
Name:CROOKS, LINDA MARIE (RN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:CROOKS
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:PO BOX 20952
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94820-0952
Mailing Address - Country:US
Mailing Address - Phone:510-210-7845
Mailing Address - Fax:
Practice Address - Street 1:4605 ELMWOOD RD
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-3112
Practice Address - Country:US
Practice Address - Phone:510-210-7845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAJ244471163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health