MARY BONVISSUTO APRN NPI 1316713480

NPI Information

NPI: 1316713480
Provider Name: MARY BONVISSUTO, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
11484 WASHINGTON PLZ W STE 300
RESTON, VA
ZIP 20190
Phone: (703) 443-2000
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Mary Bonvissuto, APRN is a primary care nurse practitioner in Reston, VA. Mary Bonvissuto, APRN NPI is 1316713480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11484 WASHINGTON PLZ W STE 300
RESTON, VA
ZIP 20190-342
Phone: (703) 443-2000

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.

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	363LP2300X	Nurse Practitioner	Primary Care	0024188379	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: 5/5/2024

NPI Synchronization or Removal

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