Provider Demographics
NPI:1447527049
Name:HASSAN, LINDA (RN, MS, BSN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:RN, MS, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 WHEATLEY DR
Mailing Address - Street 2:APT. 302
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-7716
Mailing Address - Country:US
Mailing Address - Phone:410-369-6545
Mailing Address - Fax:
Practice Address - Street 1:2207 WHEATLEY DR
Practice Address - Street 2:APT. 302
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-7716
Practice Address - Country:US
Practice Address - Phone:410-369-6545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-27
Last Update Date:2011-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR180728163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse