Individual
MRS. LINDA DIANE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 FAIRWAY DR, PORTSMOUTH, VA 23701-1622
(757) 673-4900
(757) 673-5461
Mailing address
2 FAIRWAY DR, PORTSMOUTH, VA 23701-1622
(757) 673-4900
(757) 673-5461
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001086895
VA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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