Provider Demographics
NPI:1538409305
Name:ROSENBERG, CHRISTINA LYNDA (APN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LYNDA
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3914 CENTREVILLE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3290
Mailing Address - Country:US
Mailing Address - Phone:703-435-1223
Mailing Address - Fax:703-435-1868
Practice Address - Street 1:3914 CENTREVILLE RD STE 250
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3290
Practice Address - Country:US
Practice Address - Phone:703-435-1223
Practice Address - Fax:703-435-1868
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174341363LF0000X
WAAP60453134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily