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

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone 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.