1922322239 NPI number — MRS. LINDA K TORRETTA ARNP

Table of content: MRS. LINDA K TORRETTA ARNP (NPI 1922322239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922322239 NPI number — MRS. LINDA K TORRETTA ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORRETTA
Provider First Name:
LINDA
Provider Middle Name:
K
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
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:
1922322239
Entity Type Code:
Individual
Replacement NPI:
1922322239
Last Update Date:
01/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
02/10/2010
NPI Reactivation Date:
03/16/2010

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 W HAWTHORNE RD
Provider Second Line Business Mailing Address:
SCHUMACHER HALL
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99251-2515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-777-3259
Provider Business Mailing Address Fax Number:
877-844-1709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 W HAWTHORNE RD
Provider Second Line Business Practice Location Address:
SCHUMACHER HALL
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99251-2515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-777-3259
Provider Business Practice Location Address Fax Number:
877-844-1709
Provider Enumeration Date:
02/28/2007

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:  AP30004843 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 96211305 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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