Whalio Doctors

NPI 1124176573

Linda Lee Prough, LPN

Practitioner Licensed Vocational Nurse Cocoa, FL

Practice location

Address
3905 Grissom Pkwy, Cocoa, FL 32926-3669
Phone
(321) 637-1866
Fax
(321) 637-1868
Mailing address
4920 Cangro St, Cocoa, FL 32926-2227

Registered specialties

Licensed Vocational Nurse Primary
Nursing Service Providers Taxonomy 164X00000X Licence PN1228881 (FL)

Registry record

NPI
1124176573
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.