Provider Demographics
NPI:1588999031
Name:NESTOR, LYNN PAIGE (RN, MSN,CNS)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:PAIGE
Last Name:NESTOR
Suffix:
Gender:F
Credentials:RN, MSN,CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5808 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4131
Mailing Address - Country:US
Mailing Address - Phone:703-339-0225
Mailing Address - Fax:
Practice Address - Street 1:5808 RIVER DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4131
Practice Address - Country:US
Practice Address - Phone:703-339-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001053810163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health