Provider Demographics
NPI:1568258234
Name:QUESADA VEGA, LINNEY (APRN)
Entity type:Individual
Prefix:
First Name:LINNEY
Middle Name:
Last Name:QUESADA VEGA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 SE 3RD DR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6071
Mailing Address - Country:US
Mailing Address - Phone:561-329-7482
Mailing Address - Fax:
Practice Address - Street 1:2009 SE 3RD DR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6071
Practice Address - Country:US
Practice Address - Phone:561-329-7482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily