Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R874117 | MS |
NPI | 1043257942 |
---|---|
Provider Name | Ms. Karen A Lininger |
First Address | Laurel, MS 39441-0247 |
Second Address | Laurel, MS 39440-4355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 30/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08408709 | (05) | MS |