Organization · Type 2 NPI
The Pediatric Group, PC
Pediatric Registered Nurse · Lake Ridge, VA
NPI number
1780808006
Active
Practice location
12506 A Lake Ridge Drive
Lake Ridge, VA 22192
Mailing address
7015 C Manchester Blvd.
Alexandria, VA 22310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | None listed |
Pediatric Registered Nurse: Definition to come...
About NPI 1780808006
The Pediatric Group, PC's National Provider Identifier is 1780808006, issued on Apr 11, 2007. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Lake Ridge, VA. The record was last updated on Aug 22, 2020.