1073848719 NPI number — MS. LINDA A BRIGGS CRNP

Table of content: MS. LINDA A BRIGGS CRNP (NPI 1073848719)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073848719 NPI number — MS. LINDA A BRIGGS CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRIGGS
Provider First Name:
LINDA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073848719
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 64916
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21264-4916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-481-6482
Provider Business Mailing Address Fax Number:
443-481-6515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 MEDICAL PKWY
Provider Second Line Business Practice Location Address:
ACUTE CARE PAVILION
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-3280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-481-1000
Provider Business Practice Location Address Fax Number:
443-481-1687
Provider Enumeration Date:
10/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X , with the licence number:  R066536 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9169556 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 418795400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6296524 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: KJ77AN95859101 . This is a "CAREFIRST MARYLAND" identifier . This identifiers is of the category "OTHER".
  • Identifier: S3990057 . This is a "CAREFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 288165 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 14524700 . This is a "DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".




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