THE PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE PC NPI 1710132972

NPI Information

NPI: 1710132972
Provider Name: THE PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE PC
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

Address:
4660 KENMORE AVE
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 370-4300
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THE PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE PC is an obstetrics and gynecology nurse practitioner in Alexandria, VA. THE PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE PC NPI is 1710132972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4660 KENMORE AVE
ALEXANDRIA, VA
ZIP 22304-313
Phone: (703) 370-4300
Fax: (703) 370-0044

The provider's authorized official is Juliann Lazzaro .
The authorized official title is Certified Nurse Midwife and has the following contact phone number (716) 912-2945.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	0024169729	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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