Individual provider · Type 1 NPI

Kristin Dermody Maggi, PA-C

Medical Physician Assistant · Fairfax, VA

NPI number 1003126285 Active

Practice location

3700 Joseph Siewick Dr, Suite 308
Fairfax, VA 22033-1744

Fax (703) 716-8703

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110003427 (VA)
Medical Physician Assistant 363AM0700X0010-02818 (NC)
Medical Physician Assistant 363AM0700XMA056117 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1003126285

Kristin Dermody Maggi, PA-C's National Provider Identifier is 1003126285, issued on Oct 20, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfax, VA. The record was last updated on Jun 30, 2015.