Provider Demographics
NPI:1730426255
Name:PITCHFORD, LINDA SUZANNE (APRN-CNS)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUZANNE
Last Name:PITCHFORD
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3433 NW 56TH ST
Mailing Address - Street 2:BLDG B SUITE C-60
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4455
Mailing Address - Country:US
Mailing Address - Phone:405-949-3648
Mailing Address - Fax:405-951-9785
Practice Address - Street 1:3433 NW 56TH ST
Practice Address - Street 2:BLDG B SUITE C-60
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4455
Practice Address - Country:US
Practice Address - Phone:405-949-3648
Practice Address - Fax:405-951-9785
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK40144364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist