Healthcare Provider Details

I. General information

NPI: 1710448253
Provider Name (Legal Business Name): LINDIA BATTEN DIXON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 CUNNINGHAM DR
HAMPTON VA
23666-3375
US

IV. Provider business mailing address

510 WOODFIN RD
NEWPORT NEWS VA
23601-4451
US

V. Phone/Fax

Practice location:
  • Phone: 757-243-2660
  • Fax: 757-243-2757
Mailing address:
  • Phone: 757-263-9981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number0001131875
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: