Ageless Women'S Health Va LLC
Family Medicine in Herndon, VA. Organization (NPI-2).
NPI number1962263293
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1962263293
- Entity type
- Organization (NPI-2)
- Legal business name
- Ageless Women'S Health Va LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2024
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Ageless Women'S Health Herndon (Doing Business As)
Practice location
171 Elden St Ste 160Herndon, VA 20170-4834
Phone 703-890-2209
Mailing address
171 Elden St Ste 160Herndon, VA 20170-4834
Authorized official
Teah Phillips
Credentialing Manager
9012053999
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