Healthcare Provider Details

I. General information

NPI: 1427071893
Provider Name (Legal Business Name): DEBORAH D VOLZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 CAMERON GLEN DRIVE SUITE 600
RESTON VA
20190
US

IV. Provider business mailing address

13505 PENNSBORO DR
CHANTILLY VA
20151-2721
US

V. Phone/Fax

Practice location:
  • Phone: 703-481-4238
  • Fax: 703-435-1961
Mailing address:
  • Phone: 703-378-8635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number0001089401
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: