Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0024174070 | VA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN1022304 | DC |
NPI | 1003366501 |
---|---|
Provider Name | Maria Herbstritt |
First Address | Arlington, VA 22202-2609 |
Second Address | Alexandria, VA 22302-1908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2016 |
Last Update Date | 16/11/2016 |