Provider Demographics
NPI:1437469699
Name:ARNOLD, LINA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LINA
Middle Name:ELIZABETH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:LINA
Other - Middle Name:ARNOLD
Other - Last Name:HANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:520 E ST NE
Mailing Address - Street 2:APT 204
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-5247
Mailing Address - Country:US
Mailing Address - Phone:301-896-3880
Mailing Address - Fax:
Practice Address - Street 1:8600 OLD GEORGETOWN RD
Practice Address - Street 2:SUBURBAN HOSPITAL - EMERGENCY DEPT
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1422
Practice Address - Country:US
Practice Address - Phone:301-896-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030711363A00000X
VA0110003421363A00000X
MDC0004357363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant