Individual provider · Type 1 NPI

Anna Bonicky, PA-C

Physician Assistant · Fairfax, VA

NPI number 1265979678 Active

Practice location

4094 Majestic Ln, Suite 298
Fairfax, VA 22033-2104

Mailing address

2800 Hickory St
Alexandria, VA 22305-2511

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110-005620 (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…

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About NPI 1265979678

Anna Bonicky, PA-C's National Provider Identifier is 1265979678, issued on Jan 23, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfax, VA. The record was last updated on Jan 23, 2017.