Provider Demographics
NPI:1649481748
Name:LINBERGER, ANITA LORRAINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:LORRAINE
Last Name:LINBERGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:ANITA
Other - Middle Name:LORRAINE
Other - Last Name:MINAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4647 HAPPINESS LN NW
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:MN
Mailing Address - Zip Code:56452
Mailing Address - Country:US
Mailing Address - Phone:218-675-6330
Mailing Address - Fax:
Practice Address - Street 1:106 NORTH 4TH AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1034
Practice Address - Country:US
Practice Address - Phone:218-998-3778
Practice Address - Fax:218-998-3187
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL036164 2164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse