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MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER NPI 1770817504


NPI Information

NPI: 1770817504
Provider Name: MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
8424 DORSEY CIR
SUITE #101
MANASSAS, VA
ZIP 20110
Phone: (703) 330-3285
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MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER is a women's health nurse practitioner in Manassas, VA. MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER NPI is 1770817504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8424 DORSEY CIR
SUITE #101
MANASSAS, VA
ZIP 20110-301
Phone: (703) 330-3285
Fax: (703) 330-3286

The provider's authorized official is Sheila Lynn Mathis .
The authorized official title is Owner/nurse Practioner and has the following contact phone number (703) 330-3285.

The enumeration date for this NPI number is 9/26/2009 and was last updated on 9/26/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health0024167746VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1371004OTHERVIRGINIAANTHEM
21760620892MEDICAIDVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.