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NPI Code Detail

MEDICARE: LINELL CHRISTIANNE SMITH PATTERSON NP-C

MEDICARE: LINELL CHRISTIANNE SMITH PATTERSON NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001222839VA
2363LF0000XFamily Nurse Practitioner0024173951VA

General Provider Information

NPI Number : 1104375195
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINELL CHRISTIANNE SMITH PATTERSON NP-C
Provider Business Mailing Address
First Line : 10032 MOUNTAIN VALLEY RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22802-1836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 HEARTLAND CT
Second Line :
City : DAYTON
State : VA
Zip : 22821-9000
Country : US
Telephone Number : 540-879-9002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2016
Last Update Date : 10/02/2016

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