Healthcare Provider Details

I. General information

NPI: 1497030621
Provider Name (Legal Business Name): RACHEL ANN SPIOTTO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 11/27/2023
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3833 FAIRFAX DR SUITE 200
ARLINGTON VA
22203-1772
US

IV. Provider business mailing address

2525 10TH ST N #810
ARLINGTON VA
22201-1968
US

V. Phone/Fax

Practice location:
  • Phone: 703-525-8863
  • Fax: 703-525-2837
Mailing address:
  • Phone: 703-677-6408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110-003707
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: