Provider Demographics
NPI:1144460361
Name:VASEY, LINDA (CPNP-RX AUTH)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:VASEY
Suffix:
Gender:F
Credentials:CPNP-RX AUTH
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:STROHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 S OLD ORCHARD LN
Mailing Address - Street 2:SUITE 126
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4370
Mailing Address - Country:US
Mailing Address - Phone:972-436-7962
Mailing Address - Fax:972-353-5780
Practice Address - Street 1:502 S OLD ORCHARD LN
Practice Address - Street 2:SUITE 126
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4370
Practice Address - Country:US
Practice Address - Phone:972-436-7962
Practice Address - Fax:972-353-5780
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233522363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1079428-01Medicaid
TX1079428-04Medicaid
TX1079428-02Medicaid