Provider Demographics
NPI:1710448253
Name:DIXON, LINDIA BATTEN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDIA
Middle Name:BATTEN
Last Name:DIXON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 WOODFIN RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-4451
Mailing Address - Country:US
Mailing Address - Phone:757-263-9981
Mailing Address - Fax:
Practice Address - Street 1:2021 CUNNINGHAM DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3375
Practice Address - Country:US
Practice Address - Phone:757-243-2660
Practice Address - Fax:757-243-2757
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001131875163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management