Individual
MRS. LINDA ANNE MODELFINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6301 BANSHIRE DR, MECHANICSVILLE, VA 23111-6572
(804) 855-9520
(804) 860-2026
Mailing address
6301 BANSHIRE DR, MECHANICSVILLE, VA 23111-6572
(804) 855-9520
(804) 860-2026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024176729
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60155464
—
VA
Enumeration date
10/09/2018
Last updated
08/19/2022
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