Individual
ELLEN CHRISTINE REDLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CS,MS
Contact information
Practice address
44355 PREMIER PLZ, SUITE 120, ASHBURN, VA 20147-5049
(703) 955-0537
(703) 723-5998
Mailing address
47168 SKY LN, STERLING, VA 20165-7515
(703) 444-5059
(703) 723-5998
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000549
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256426
ANTHEM BC/BS
VA
01
—
355608
MAMSI
VA
05
—
55-1060-1
—
VA
Enumeration date
06/27/2005
Last updated
10/10/2012
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