Individual provider · Type 1 NPI
Roseller Balagtas Simbulan JR, NP
Family Nurse Practitioner · Woodbridge, VA
NPI number
1629806872
Active
Practice location
16245 Catenary Dr
Woodbridge, VA 22191-6035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN500006216 (DC) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024198218 (VA) |
| Registered Nurse | 163W00000X | 0001301746 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629806872
Roseller Balagtas Simbulan JR, NP's National Provider Identifier is 1629806872, issued on Jul 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodbridge, VA. The record was last updated on Aug 15, 2026.