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NPI Code Detail

MEDICARE: MARIA OLIVIA A RICCI MSN, ANP-BC

MEDICARE: MARIA OLIVIA A RICCI MSN, ANP-BC
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
1363LA2200XAdult Health Nurse PractitionerSP012108PA
2363L00000XNurse Practitioner0024171345VA

General Provider Information

NPI Number : 1932468162
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA OLIVIA A RICCI MSN, ANP-BC
Provider Business Mailing Address
First Line : 8101 HINSON FARM RD STE 408
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3409
Country : US
Telephone Number : 703-780-9014
Fax Number : 703-780-9077
Provider Business Practice Location Address
First Line : 8101 HINSON FARM RD STE 408
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3409
Country : US
Telephone Number : 703-780-9014
Fax Number : 703-780-9077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2012
Last Update Date : 06/17/2021

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