Provider Demographics
NPI:1184813636
Name:EGGERMANN, LINDA H (ARNP,CARN,BC-CS)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:H
Last Name:EGGERMANN
Suffix:
Gender:F
Credentials:ARNP,CARN,BC-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 W MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981-4960
Mailing Address - Country:US
Mailing Address - Phone:772-460-2777
Mailing Address - Fax:772-460-2720
Practice Address - Street 1:3451 W MIDWAY RD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4960
Practice Address - Country:US
Practice Address - Phone:772-460-2777
Practice Address - Fax:772-460-2720
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3008312363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health