Provider Demographics
NPI:1902090608
Name:STIMPSON, LINDA L (LVN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:STIMPSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 WOLF CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-3051
Mailing Address - Country:US
Mailing Address - Phone:817-467-9142
Mailing Address - Fax:
Practice Address - Street 1:1532 WOLF CREEK DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-3051
Practice Address - Country:US
Practice Address - Phone:817-467-9142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119738164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse