Organization · Type 2 NPI
Millenium Elite Primary Care
Adult Health Nurse Practitioner · Fairfax, VA
NPI number
1659250595
Active
Practice location
3060 Williams Dr., Suite 300
Fairfax, VA 22031
Mailing address
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1659250595
Millenium Elite Primary Care's National Provider Identifier is 1659250595, issued on Aug 27, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fairfax, VA. The record was last updated on Aug 27, 2025.