Widner, Linda G

Widner, Linda G is an individual health care provider with primary practice located at 500 E Central Ave , Winter Haven FL 33880-3053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Widner, Linda G can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
500 E Central Ave Winter Haven FL 33880-3053
Phone: (863) 293-1191
Fax: (863) 293-3635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP-1760012 Florida

Profile Details

NPI number 1265430250
LBN Legal business name Widner, Linda G
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

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 1265430250 NPPES
Florida MEDICAID 30536520-00

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