Individual provider · Type 1 NPI

Astrid Witherspoon

Student in an Organized Health Care Education/Training Program · Fairfax, VA

NPI number 1740950401 Active

Practice location

12111 Polo Dr Apt 122
Fairfax, VA 22033-4026

Call (512) 897-5564 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740950401

Astrid Witherspoon's National Provider Identifier is 1740950401, issued on Sep 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfax, VA. The record was last updated on Sep 15, 2021.