B A S I C L I F E S U P P O R T B A S I C L I F E S U P P O R T

BLS Training
Sentara Northern Virginia Medical Center
Provider Center Name

Training
Samantha Spiker VA00323
Center ID
The above individual has successfully completed the cognitive and skills 2300 Opitz Blvd
evaluations in accordance with the curriculum of the American Heart TC Address
Woodbridge VA 22191-3311 USA
Association Basic Life Support (CPR and AED) Program.
TC Phone (703) 523-1371

Issue Date Recommended Renewal Date

Instructor
Name Windy Shifflett
08/24/2017 08/2019
To view or verify authenticity, students and employers Instructor ID 09150362326
should scan this QR code with their mobile device or
go to www.heart.org/cpr/mycards.
© 2016 American Heart Association  15-3001  3/16

Directions
1. Cut along dotted lines
2. Fold both halves together
3. Use adhesive to combine halves