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>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1548635477

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 844-542-2273  Fax: --

Contact information for business:
Tel: 703-521-6662  Fax: 703-521-5991

Registration Information:
NPI: 1548635477
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:



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