Healthcare Provider Details

I. General information

NPI: 1417906868
Provider Name (Legal Business Name): LINDA A. GEHR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 S JEFFERSON ST
FALLS CHURCH VA
22041
US

IV. Provider business mailing address

3440 S JEFFERSON ST
FALLS CHURCH VA
22041-3145
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-7100
  • Fax:
Mailing address:
  • Phone: 703-717-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024086437
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN64258
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: