DOREEN MATTIMIRO FNP NPI 1932252673

NPI Information

  • NPI: 1932252673
  • Provider Name: DOREEN MATTIMIRO, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 19415 DEERFIELD AVE
    SUITE 213
    LANSDOWNE, VA
    ZIP 20176
  • Phone: (703) 729-9220

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NPI Details

Doreen Mattimiro, FNP is a family nurse practitioner in Lansdowne, VA. Doreen Mattimiro, FNP NPI is 1932252673. 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:

19415 DEERFIELD AVE
SUITE 213
LANSDOWNE, VA
ZIP 20176-452
Phone: (703) 729-9220
Fax: (703) 858-3529

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/9/2007.

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
1363LF0000XNurse PractitionerFamily0024091068VIRGINIAYes

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
1Q38590MEDICARE UPINVIRGINIA
2006832A11MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMEDICARE ID
3010108276MEDICAIDVIRGINIA

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: 3/30/2025

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