Individual provider · Type 1 NPI

Odyzza Jane Centro, PA-C

Physician Assistant · Fairfax, VA

NPI number 1104583947 Active

Practice location

8081 Innovation Park Dr Ste 500
Fairfax, VA 22031-4867

Call (571) 472-7040 Map

Fax (571) 472-7041

Mailing address

121 Congressional Ln Ste 409
Rockville, MD 20852-1542

Other practice locations

  • 121 Congressional Ln Ste 409, Rockville, MD 20852-1542 · (301) 881-0230

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0008268 (MD)
Physician Assistant Primary 363A00000X0110008245 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

6 other providers at this address

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About NPI 1104583947

Odyzza Jane Centro, PA-C's National Provider Identifier is 1104583947, issued on Nov 28, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 9, 2023.