Healthcare Provider Details

I. General information

NPI: 1336238138
Provider Name (Legal Business Name): LINDSAY BEECROFT UMAYAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 WILSON BLVD
ARLINGTON VA
22201-3843
US

IV. Provider business mailing address

5546 15TH ST N
ARLINGTON VA
22205-2746
US

V. Phone/Fax

Practice location:
  • Phone: 703-238-1300
  • Fax:
Mailing address:
  • Phone: 703-237-2332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024165086
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: