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Physician Assistants & Advanced Practice Nursing Providers Midwife, Certified Nurse

Provider NPI: 1023218864

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
1715 N GEORGE MASON DR #305 ARLINGTON, VA 22205-3609 US
Tel: 703-816-4152  Fax: --

Business Mailing Address:
1715 N GEORGE MASON DR #305 ARLINGTON, VA 22205-3609 US
Tel: 703-816-4152  Fax: --

NPI Information:
NPI: 1023218864
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 367A00000X





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