Individual provider · Type 1 NPI

Minna Manalo Bacarra, NP

Nurse Practitioner · Fairfax, VA

NPI number 1255339370 Active

Practice location

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Call (571) 472-1600 Map

Fax (571) 472-1601

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Other practice locations

  • 3800 Reservoir Rd NW, Washington, DC 20007-2113 · (202) 444-9161

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician 2086X0206XRN966963 (DC)
Nurse Practitioner Primary 363L00000X0024172064 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255339370

Minna Manalo Bacarra, NP's National Provider Identifier is 1255339370, issued on Jul 12, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 12, 2022.