Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 0024167748 | VA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 0024167748 | VA |
NPI | 1548251838 |
---|---|
Provider Name | Anna Madigan |
First Address | Falls Church, VA 22042-3300 |
Second Address | Falls Church, VA 22042-3300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 10/02/2021 |