Provider Demographics
NPI:1538171509
Name:MONEYMAKER, LINDA A (CRNA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:MONEYMAKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8383 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6039
Mailing Address - Country:US
Mailing Address - Phone:850-375-2395
Mailing Address - Fax:866-471-1940
Practice Address - Street 1:8383 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6039
Practice Address - Country:US
Practice Address - Phone:850-375-2395
Practice Address - Fax:866-471-1940
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9247500367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAB643YMedicare ID - Type Unspecified