Provider Demographics
NPI:1992910384
Name:VAN ART, LINDA W (RN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:W
Last Name:VAN ART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2211 EAST AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-6710
Mailing Address - Country:US
Mailing Address - Phone:608-787-6531
Mailing Address - Fax:
Practice Address - Street 1:1407 ST ANDREW ST
Practice Address - Street 2:LA CROSSE COUNTY CMO
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54603-2378
Practice Address - Country:US
Practice Address - Phone:608-785-5967
Practice Address - Fax:608-785-6315
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69255030163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health