MEDICARE: DR. ARMINDA G NASUTI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101261861	VA
2	207Q00000X	Family Medicine Physician	52708-20	WI

General Provider Information

NPI Number	:	1447478425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMINDA G NASUTI MD

Provider Business Mailing Address
First Line	:	6932 FAIRFAX DR
Second Line	:	UNIT 400
City	:	ARLINGTON
State	:	VA
Zip	:	22213-1096
Country	:	US
Telephone Number	:	608-643-3351
Fax Number	:

Provider Business Practice Location Address
First Line	:	6932 FAIRFAX DR
Second Line	:	UNIT 400
City	:	ARLINGTON
State	:	VA
Zip	:	22213-1096
Country	:	US
Telephone Number	:	608-643-3351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	03/04/2017

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