Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101042260 | VA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101042260 | VA |
NPI | 1346331170 |
---|---|
Provider Name | Dr. Barbara M. Nies |
First Address | Oakton, VA 22124-1034 |
Second Address | Fairfax, VA 22031-2238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006231543 | (05) | VA |
E13442 | (02) | VA |