National Provider Identifier
Linda Kovac-Tantalo, NURSE PRACTITIONER
Linda Kovac-Tantalo, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Farmington, NY and a listed phone number of (585) 396-4190.
Profile Overview
- NPI
- 1013144534
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- June 11, 2009
- Last Updated
- May 18, 2022
Practice Location
- 1386 Hathaway Dr
- Farmington, NY 14425-8973
Phone: (585) 396-4190
Mailing Address
- 707 Hawks Nest Cir
- Rochester, NY 14626-4894
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1013144534
- Entity Type
- Individual
- Last Name
- Kovac-Tantalo
- First Name
- Linda
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 707 Hawks Nest Cir
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4894
- Mailing Country
- US
- Mailing Phone
- (585) 738-9127
- Practice Street Address
- 1386 Hathaway Dr
- Practice City
- Farmington
- Practice State
- NY
- Practice ZIP Code
- 14425-8973
- Practice Country
- US
- Practice Phone
- (585) 396-4190
- Enumeration Date
- June 11, 2009
- Last Updated
- May 18, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)