MEDICARE: ANNA SENESE PA-C

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	363A00000X	Physician Assistant	0110009041	VA

General Provider Information

NPI Number	:	1649985920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SENESE PA-C

Provider Business Mailing Address
First Line	:	2500 N VAN DORN ST STE 102
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1601
Country	:	US
Telephone Number	:	703-933-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 N VAN DORN ST STE 102
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1601
Country	:	US
Telephone Number	:	703-933-0555
Fax Number	:

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

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	01/20/2023

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Directions to “ ANNA SENESE PA-C” Practice Location

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