Provider Demographics
NPI:1902070378
Name:CALLINDER, BEATRICE LADONNA (LPN)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:LADONNA
Last Name:CALLINDER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 MILL LANE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-1723
Mailing Address - Country:US
Mailing Address - Phone:434-485-2669
Mailing Address - Fax:
Practice Address - Street 1:140 MILL LANE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-1723
Practice Address - Country:US
Practice Address - Phone:434-485-2669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse