Healthcare Provider Details

I. General information

NPI: 1952658270
Provider Name (Legal Business Name): ANNE BEJIAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE RILEY NP

II. Dates (important events)

Enumeration Date: 08/06/2012
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21785 FILIGREE CT SUITE 103
ASHBURN VA
20147-6213
US

IV. Provider business mailing address

21785 FILIGREE CT SUITE 103
ASHBURN VA
20147-6213
US

V. Phone/Fax

Practice location:
  • Phone: 703-444-5447
  • Fax: 703-444-5484
Mailing address:
  • Phone: 703-444-5447
  • Fax: 703-444-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024169957
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: