Provider Demographics
NPI:1295313302
Name:TODD, LINDA L (NP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:TODD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8260 GREENSBORO DR STE A30
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4935
Mailing Address - Country:US
Mailing Address - Phone:703-399-6954
Mailing Address - Fax:571-308-1919
Practice Address - Street 1:8260 GREENSBORO DR STE A30
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4935
Practice Address - Country:US
Practice Address - Phone:571-308-1900
Practice Address - Fax:571-308-1919
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181148363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care