Healthcare Provider Details

I. General information

NPI: 1164654745
Provider Name (Legal Business Name): MISS RINA CABRERA RICHERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RINA ARACELLY CABRERA RIVAS

II. Dates (important events)

Enumeration Date: 08/17/2009
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7839 ROLLING RD STE A
SPRINGFIELD VA
22153-2821
US

IV. Provider business mailing address

7839 ROLLING RD STE A
SPRINGFIELD VA
22153-2821
US

V. Phone/Fax

Practice location:
  • Phone: 703-659-6998
  • Fax:
Mailing address:
  • Phone: 703-569-6998
  • Fax: 703-569-7008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024179656
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024179656
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: