Provider Demographics
NPI:1245267582
Name:SAVAGE, LINDA JOAN (RNFA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JOAN
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:JOAN
Other - Last Name:SINSHEIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6290 CYNTHIA ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-4330
Mailing Address - Country:US
Mailing Address - Phone:805-587-8770
Mailing Address - Fax:805-578-0514
Practice Address - Street 1:2650 JONES WAY
Practice Address - Street 2:SUITE 2
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1203
Practice Address - Country:US
Practice Address - Phone:805-577-7977
Practice Address - Fax:805-577-0745
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA570623163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse