Healthcare Provider Details

I. General information

NPI: 1821835950
Provider Name (Legal Business Name): LINDA VATRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 N TAYLOR ST
ARLINGTON VA
22201-5638
US

IV. Provider business mailing address

1120 N TAYLOR ST
ARLINGTON VA
22201-5638
US

V. Phone/Fax

Practice location:
  • Phone: 540-222-9866
  • Fax:
Mailing address:
  • Phone: 240-367-5562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA15388
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: