Provider Demographics
NPI:1992954960
Name:WILLIAMS, LINDA KATZINGER (RN,BSN,PHN,MBA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KATZINGER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN,BSN,PHN,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 MORRO BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-1918
Mailing Address - Country:US
Mailing Address - Phone:805-772-6587
Mailing Address - Fax:805-772-0520
Practice Address - Street 1:760 MORRO BAY BLVD
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-1918
Practice Address - Country:US
Practice Address - Phone:805-772-6587
Practice Address - Fax:805-772-0520
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230957163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management