Basic Information
| Provider Information | |||||||||
| NPI: | 1801042403 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCGUIRE | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | HELENE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 108 WILSON AVE | ||||||||
| Address2: | |||||||||
| City: | KINGSTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 124012030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453395908 | ||||||||
| FaxNumber: | 8454736692 | ||||||||
| Practice Location | |||||||||
| Address1: | 108 WILSON AVE | ||||||||
| Address2: | |||||||||
| City: | KINGSTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 124012030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453395908 | ||||||||
| FaxNumber: | 8454736692 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2008 | ||||||||
| LastUpdateDate: | 08/14/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 244520-1 | NY | Y | Nursing Service Providers | Registered Nurse |
No ID Information.