Tarter, Linnea Diane

Tarter, Linnea Diane is an individual health care provider with primary practice located at 542 Steve Dr , Russell Springs KY 42642-4601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tarter, Linnea Diane can be contacted via phone (270) 858-3636.

Contact Information

Primary practice address
542 Steve Dr Russell Springs KY 42642-4601
Fax: (270) 858-3660
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016828 Kentucky

Profile Details

NPI number 1508522889
LBN Legal business name Tarter, Linnea Diane
Credentials APRN-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Mar 27th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508522889 NPPES
Kentucky MEDICAID 7100787380

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