Linville, Mary Todd

Linville, Mary Todd is an individual health care provider with primary practice located at 800 S Brown St , Springfield TN 37172-2920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Linville, Mary Todd can be contacted via phone (615) 384-0208.

Contact Information

Primary practice address
800 S Brown St Springfield TN 37172-2920
Fax: (615) 384-0245
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6353 Tennessee

Profile Details

NPI number 1497788350
LBN Legal business name Linville, Mary Todd
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497788350 NPPES
Tennessee MEDICAID 4100200

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