Healthcare Provider Details

I. General information

NPI: 1164974325
Provider Name (Legal Business Name): REBECCA M HINDMAN MSN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 11/27/2023
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 ARLINGTON BLVD SUITE 300
FAIRFAX VA
22031-4617
US

IV. Provider business mailing address

PO BOX 37174
BALTIMORE MD
21297-3174
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-1611
  • Fax:
Mailing address:
  • Phone: 571-433-5699
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024174071
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: