Provider Demographics
NPI:1861730814
Name:MANKO, LINDA GOTTLIEB (RNFA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GOTTLIEB
Last Name:MANKO
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SHELDRAKE LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6831
Mailing Address - Country:US
Mailing Address - Phone:561-694-0350
Mailing Address - Fax:561-627-2697
Practice Address - Street 1:22 SHELDRAKE LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-6831
Practice Address - Country:US
Practice Address - Phone:561-694-0350
Practice Address - Fax:561-627-2697
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-26
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1395762163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant