Healthcare Provider Details

I. General information

NPI: 1659125003
Provider Name (Legal Business Name): VAQUINDA MOTLEY DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8644 SUDLEY RD STE 115
MANASSAS VA
20110-4425
US

IV. Provider business mailing address

8921 THREE CHOPT RD STE 210
RICHMOND VA
23229-4601
US

V. Phone/Fax

Practice location:
  • Phone: 703-396-5222
  • Fax: 703-396-5229
Mailing address:
  • Phone: 804-482-0897
  • Fax: 804-600-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024189580
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP2000382
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: