RADIANT REJUVENATION WELLNESS NPI 1932948387

NPI Information

  • NPI: 1932948387
  • Provider Name: RADIANT REJUVENATION WELLNESS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4914 MCFARLAND DR
    FAIRFAX, VA
    ZIP 22032
  • Phone: (571) 241-2915

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NPI Details

RADIANT REJUVENATION WELLNESS is a family nurse practitioner in Fairfax, VA. RADIANT REJUVENATION WELLNESS NPI is 1932948387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4914 MCFARLAND DR
FAIRFAX, VA
ZIP 22032-518
Phone: (571) 241-2915

The provider's authorized official is Carol Kamara .
The authorized official title is Owner and has the following contact phone number (571) 241-2915.

The enumeration date for this NPI number is 5/23/2024 and was last updated on 5/23/2024.

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 PractitionerFamilyYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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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