Individual
LINDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575
Mailing address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0001094221
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001094221
VIRGINIA LICENSE
VA
Enumeration date
06/02/2008
Last updated
06/02/2008
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