Most Relevant Information
Provider Data
| NPI Number: | 1003392606 |
| Provider Name: | LINDSEY STANTON CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R208635 |
Most Important Dates
| Enumeration Date: | 07/17/2018 |
| Last Updated: | 08/28/2020 |
Provider Practice Location
10530 ROSEHAVEN ST STE 100
FAIRFAX
VA
220302888
Practice Location Phone/Fax
| Phone: | 7039380363 |
| Fax: | 7039388653 |
Provider Mailing Location
10530 ROSEHAVEN ST STE 100
FAIRFAX
VA
220302888
Provider Mailing Phone/Fax
| Phone: | 7039380363 |
| Fax: | 7039388653 |