Healthcare Provider Details

I. General information

NPI: 1457621906
Provider Name (Legal Business Name): MARIA BESILDA RIMANDO-KELLY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 DEWITT LOOP
FORT BELVOIR VA
22060-5285
US

IV. Provider business mailing address

9300 DEWITT LOOP
FORT BELVOIR VA
22060-5285
US

V. Phone/Fax

Practice location:
  • Phone: 517-231-3496
  • Fax:
Mailing address:
  • Phone: 571-231-3496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17184
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: