PWNC PC CORP NPI 1184707796

NPI Information

  • NPI: 1184707796
  • Provider Name: PWNC PC CORP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: PRINCE WILLIAM NEUROSCIENCE CENTER
  • Address: 8650 SUDLEY RD
    SUITE 300
    MANASSAS, VA
    ZIP 20110
  • Phone: (703) 369-0600

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NPI Details

PWNC PC CORP is a specialist in Manassas, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PWNC PC CORP NPI is 1184707796. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Prince William Neuroscience Center.

The provider's business location address is:

8650 SUDLEY RD
SUITE 300
MANASSAS, VA
ZIP 20110-419
Phone: (703) 369-0600
Fax: (703) 369-7487

The provider's authorized official is Yvette C Sandoval .
The authorized official title is Neuro President and has the following contact phone number (703) 369-0600.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 10/3/2011.

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
1174400000XSpecialist0101059282VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10007111673MEDICAIDVIRGINIA
2G08155MEDICARE UPINVIRGINIA

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: 11/21/2025

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