Individual provider · Type 1 NPI

Ann L. Komelasky, CRNP

Nurse Practitioner · Manassas, VA

NPI number 1720156128 Active

Practice location

11730 Sudley Manor Drive
Manassas, VA 20109-2843

Fax (703) 257-3133

Mailing address

Kaiser Permanente Mid Atlantic Permanente Medical Group, 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W
Rockville, MD 20852-4908

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	0001069512 (VA)
Nurse Practitioner	363L00000X	0024069512 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1720156128

Ann L. Komelasky, CRNP's National Provider Identifier is 1720156128, issued on Dec 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manassas, VA. The record was last updated on Jul 8, 2007.