Provider Demographics
NPI:1790754513
Name:HESTVIK, LINDA M (RN MS CPNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:HESTVIK
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Gender:F
Credentials:RN MS CPNP
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Mailing Address - Street 1:1500 N BEAUREGARD ST
Mailing Address - Street 2:ALEXANDRIA LAKE RIDGE PEDIATRICS STE 200
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1723
Mailing Address - Country:US
Mailing Address - Phone:703-212-6600
Mailing Address - Fax:703-499-9670
Practice Address - Street 1:1500 N BEAUREGARD ST
Practice Address - Street 2:ALL PEDIATRICS STE 200
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1723
Practice Address - Country:US
Practice Address - Phone:703-436-1215
Practice Address - Fax:703-499-9670
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2011-02-17
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Provider Licenses
StateLicense IDTaxonomies
VANP0024076168363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics