Healthcare Provider Details

I. General information

NPI: 1881501898
Provider Name (Legal Business Name): MARIA EMILIA MALCOLM PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 OAKLAWN DR STE A
CULPEPER VA
22701-3339
US

IV. Provider business mailing address

145 HOLLY HILL DR
BARBOURSVILLE VA
22923-9507
US

V. Phone/Fax

Practice location:
  • Phone: 540-613-1825
  • Fax:
Mailing address:
  • Phone: 540-212-2715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: