1982995262 NPI number — MS. LINDA LOUISE DARBYSHIRE APRN MSN BC

Table of content: MS. LINDA LOUISE DARBYSHIRE APRN MSN BC (NPI 1982995262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982995262 NPI number — MS. LINDA LOUISE DARBYSHIRE APRN MSN BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DARBYSHIRE
Provider First Name:
LINDA
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN MSN BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARBER
Provider Other First Name:
LINDA
Provider Other Middle Name:
LOUISE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982995262
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
164 CRANVIEW ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BREWSTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02631-2256
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-240-7964
Provider Business Mailing Address Fax Number:
360-462-5164

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PLEASANT LAKE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
253 PLEASANT LAKE AVE
Provider Business Practice Location Address City Name:
HARWICH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-945-5771
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2011

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: 364SP0809X , with the licence number:  RN184933 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 110090975A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".