Provider Demographics
NPI:1528169406
Name:GREY, LINDA D (RN MSN CS)
Entity type:Individual
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First Name:LINDA
Middle Name:D
Last Name:GREY
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Gender:F
Credentials:RN MSN CS
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Mailing Address - Street 1:131 GREAT FALLS ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3445
Mailing Address - Country:US
Mailing Address - Phone:703-533-1359
Mailing Address - Fax:703-533-8772
Practice Address - Street 1:131 GREAT FALLS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3445
Practice Address - Country:US
Practice Address - Phone:703-533-1359
Practice Address - Fax:703-533-8772
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-08-18
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Provider Licenses
StateLicense IDTaxonomies
VA0001078158364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult