Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP11646 | AZ |
NPI | 1104067958 |
---|---|
Provider Name | Linda Susan Reimers |
First Address | Oro Valley, AZ 85755-1629 |
Second Address | Tucson, AZ 85741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2009 |
Last Update Date | 17/04/2019 |