Provider Demographics
NPI:1134962889
Name:LINETTE, ELIZABETH M (CSN, MSN, RN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:LINETTE
Suffix:
Gender:F
Credentials:CSN, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6528 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2456
Mailing Address - Country:US
Mailing Address - Phone:267-992-0607
Mailing Address - Fax:
Practice Address - Street 1:6528 GRANT AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-2456
Practice Address - Country:US
Practice Address - Phone:267-992-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN526562L163WH0200X
NJ26NR13641400163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WH0200XNursing Service ProvidersRegistered NurseHome Health