1841720174 NPI number — MS. CHRISTEN KELLER LINTON FNP

Table of content: MS. CHRISTEN KELLER LINTON FNP (NPI 1841720174)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841720174 NPI number — MS. CHRISTEN KELLER LINTON FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINTON
Provider First Name:
CHRISTEN
Provider Middle Name:
KELLER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KELLER
Provider Other First Name:
CHRISTEN
Provider Other Middle Name:
ANGELLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841720174
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4848 THIBODEAUX RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWELL SPRINGS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70739-3766
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-921-6809
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4848 THIBODEAUX RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENWELL SPRINGS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70739-3766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-921-6809
Provider Business Practice Location Address Fax Number:
615-432-4651
Provider Enumeration Date:
06/19/2017

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: 363LF0000X , with the licence number:  AP09332 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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