Healthcare Provider Details

I. General information

NPI: 1912068743
Provider Name (Legal Business Name): LINDA DARNELL BORUFF MSN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LINDA YVONNE DARNELL

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 BELLE HAVEN RD
ALEXANDRIA VA
22307-1201
US

IV. Provider business mailing address

2151 JAMIESON AVE #1604
ALEXANDRIA VA
22314-5705
US

V. Phone/Fax

Practice location:
  • Phone: 703-765-6093
  • Fax: 703-765-7761
Mailing address:
  • Phone: 717-823-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704286251
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberCRNP SP009277
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024158608
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: