Healthcare Provider Details

I. General information

NPI: 1427275254
Provider Name (Legal Business Name): PATRICIA AILEEN ROBERTSON ARNP, FNP, ANP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 SPRING VILLAGE DR
SPRINGFIELD VA
22150-4446
US

IV. Provider business mailing address

813 MAIDEN CHOICE LN
BALTIMORE MD
21228-3679
US

V. Phone/Fax

Practice location:
  • Phone: 703-923-4644
  • Fax: 703-923-4625
Mailing address:
  • Phone: 410-402-2258
  • Fax: 410-204-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024164131
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024164131
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: