Provider Demographics
NPI:1447279328
Name:FEGES, LINDA JEAN (FNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:FEGES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 E VIA DE VENTURA
Mailing Address - Street 2:1129
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6600
Mailing Address - Country:US
Mailing Address - Phone:480-220-6632
Mailing Address - Fax:
Practice Address - Street 1:8311 E VIA DE VENTURA
Practice Address - Street 2:1129
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-6600
Practice Address - Country:US
Practice Address - Phone:480-220-6632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1063253363LF0000X
AZAP3238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNS66714Medicare UPIN
AZS66714Medicare UPIN