Provider Demographics
NPI:1699893719
Name:FORGIONE, LINDA (NP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:FORGIONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:WAYNE
Other - Middle Name:
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:101 BECKS WOODS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3854
Mailing Address - Country:US
Mailing Address - Phone:302-838-1100
Mailing Address - Fax:302-838-8962
Practice Address - Street 1:101 BECKS WOODS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3854
Practice Address - Country:US
Practice Address - Phone:302-838-1100
Practice Address - Fax:302-838-8962
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMF1074537363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner