Linda Lou Wick
Nurse Practitioner - Gerontology
400 E 3rd St
Duluth
, Minnesota 55805-1951
Linda Lou Wick
Nurse Practitioner - Gerontology
400 E 3rd St
Duluth
, Minnesota 55805-1951
(218) 786-8364
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Linda Lou Wick
- 400 E 3rd St
- Duluth, MN
- Zip : 55805-1951
- Phone : (218) 786-8364
Second Address
- Linda Lou Wick
- 400 E 3rd St
- Duluth, MN
- Zip : 55805-1951
- Phone : (218) 786-8364
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | R 1037577 | MN |
National Provider Identifier
| NPI | 1053339655 |
|---|---|
| Provider Name | Linda Lou Wick |
| First Address | Duluth, MN 55805-1951 |
| Second Address | Duluth, MN 55805-1951 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 29/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43944900 | (05) | WI |
| 569525200 | (05) | MN |
| S16588 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.