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Individual

MS. LYNNITA ANDREA MONTAGUE-DADDIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-CNS, RN

Contact information

Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 254-4261
Mailing address
9775 OLEANDER AVE, VIENNA, VA 22181-6037
(703) 254-4261

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001211544
VA
363L00000X
Nurse Practitioner
Primary
0024181940
VA
364S00000X
Clinical Nurse Specialist
0015000984
VA

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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