Provider Demographics
NPI:1174749568
Name:PIUREK, LINDA J (MS, RN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:PIUREK
Suffix:
Gender:F
Credentials:MS, RN, FNP-C
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:JARVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RN, FNP-C
Mailing Address - Street 1:15 ORMOND ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-2303
Mailing Address - Country:US
Mailing Address - Phone:518-446-9535
Mailing Address - Fax:
Practice Address - Street 1:15 ORMOND ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-2303
Practice Address - Country:US
Practice Address - Phone:518-446-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily