Individual provider · Type 1 NPI

Millicent M. Mutisya

Family Nurse Practitioner · Fairfax, VA

NPI number 1285308528 Active

Practice location

8613 Route 29 # 200N
Fairfax, VA 22031-2171

Fax (703) 280-9596

Mailing address

3040 Williams Dr Ste 100
Fairfax, VA 22031-4618

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024180473 (VA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1285308528

Millicent M. Mutisya's National Provider Identifier is 1285308528, issued on Aug 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 11, 2025.