Basic Information
| Provider Information | |||||||||
| NPI: | 1992802219 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CLIMER | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | Y | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 E TAMPA ST | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 65806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178310150 | ||||||||
| FaxNumber: | 4178653479 | ||||||||
| Practice Location | |||||||||
| Address1: | 440 E TAMPA ST | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 65806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178310150 | ||||||||
| FaxNumber: | 4178653479 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 01/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 112093 | MO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 080192592 | 01 | RAILROAD MEDICARE | OTHER | 7500 | 01 | BCBS | OTHER |