Healthcare Provider Details

I. General information

NPI: 1326857814
Provider Name (Legal Business Name): XAIMARA MICHELLE ROLON ACEVEDO CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GEORGE MASON DR
ARLINGTON VA
22205-3610
US

IV. Provider business mailing address

4360 CHERRY HILL RD APT 101
ARLINGTON VA
22207-3230
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-6171
  • Fax:
Mailing address:
  • Phone: 939-290-6272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: