Provider Demographics
NPI:1821606377
Name:BRUNO, LINDSAY ANN (FNP-BC, RN)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:ANN
Last Name:BRUNO
Suffix:
Gender:F
Credentials:FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 DISTRICT AVE APT 504
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2334
Mailing Address - Country:US
Mailing Address - Phone:703-347-1361
Mailing Address - Fax:
Practice Address - Street 1:2921 DISTRICT AVE APT 504
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2334
Practice Address - Country:US
Practice Address - Phone:703-347-1361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179757363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily