Healthcare Provider Details
I. General information
NPI: 1285085076
Provider Name (Legal Business Name): CRAIG JAMES PHILHOWER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/23/2016
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 N GLEBE RD STE 4000
ARLINGTON VA
22203-1824
US
IV. Provider business mailing address
11186 WHEELER RIDGE DR
MANASSAS VA
20109-5708
US
V. Phone/Fax
- Phone: 571-366-8850
- Fax: 813-315-6180
- Phone: 703-922-3743
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN11006453 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024173663 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 12181 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: