Healthcare Provider Details

I. General information

NPI: 1790203719
Provider Name (Legal Business Name): WOMEN FAMILIES FIRST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 08/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4208 EVERGREEN LN STE 213
ANNANDALE VA
22003-3254
US

IV. Provider business mailing address

4208 EVERGREEN LN STE 213
ANNANDALE VA
22003-3254
US

V. Phone/Fax

Practice location:
  • Phone: 703-642-7522
  • Fax: 703-642-7565
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA WHISTLEMAN
Title or Position: BILLING SPECIALIST
Credential:
Phone: 703-615-5999