Provider Demographics
NPI:1972948040
Name:AMONDSON-MULLER, LINDA C (RND)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:AMONDSON-MULLER
Suffix:
Gender:F
Credentials:RND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PINE DR
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9633
Mailing Address - Country:US
Mailing Address - Phone:360-740-7431
Mailing Address - Fax:360-748-0851
Practice Address - Street 1:102 PINE DR
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-9633
Practice Address - Country:US
Practice Address - Phone:360-740-7431
Practice Address - Fax:360-748-0851
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00122296163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse