Organization · Type 2 NPI
Community Care Pediatrics, LLC
Family Nurse Practitioner · Manassas, VA
NPI number
1093096281
Active
Practice location
9444 Taney Rd, 103
Manassas, VA 20110-5933
Fax (703) 365-0332
Mailing address
9430 Forestwood Ln, 100
Manassas, VA 20110-4753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024166627 (VA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Manassas
About NPI 1093096281
Community Care Pediatrics, LLC's National Provider Identifier is 1093096281, issued on Sep 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manassas, VA. The record was last updated on Sep 1, 2011.