Ageless Women'S Health VA LLC
Organization Active NPI Family Medicine Physician · Herndon, VA
NPI 1962263293 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1962263293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AGELESS WOMEN'S HEALTH VA LLC
- Practice address
- 171 Elden St Ste 160
Herndon, VA 20170-4834 - Phone
- (703) 890-2209
- NPI assigned
- Jan 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Teah Phillips
- Title
- Credentialing Manager
- Phone
- (901) 205-3999
National Provider Directory
Locations
171 Elden St
Ste 160
Herndon, VA 20170
Phone (703) 373-0040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
171 Elden St Ste 160
Herndon, VA 20170-4834
Mailing address
171 Elden St Ste 160
Herndon, VA 20170-4834
Other names
- Ageless Women's Health Herndon
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.