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Mrs. Mizpah Amados, NP
Psychiatric/Mental Health Nurse Practitioner in Woodbridge, Virginia
NPI 1427621580

Mizpah Amados is a Psychiatric/Mental Health Nurse Practitioner based in Woodbridge, VA and is specialized in Psychiatric/Mental Health. Mizpah Amados practices in Woodbridge, VA and has the professional credentials of NP. The NPI Number for Mizpah Amados is 1427621580 and holds a License No. AC003964 (Virginia).

The current practice location address for Mizpah Amados is 16621 Radcliffe Ln, Woodbridge, VA and can be reached out via phone at 703-475-9365.

Location: 16621 Radcliffe Ln, Woodbridge, VA, 22191-4438
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Provider Profile Details
NPI Number
1427621580
Provider Name
Mizpah Amados
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
16621 Radcliffe Ln, Woodbridge, VA, 22191-4438
Phone Number
703-475-9365
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024182292 01 VA LICENSE TO PRACTICE AS A NURSE PRACTITIONER - VALID VIRGINIA ONLY
AC003964 01 MD LICENSE TO PRACTICE AS A NURSE PRACTITIONER - MARYLAND
institution
Provider Business Practice Location Address Details
Address
16621 Radcliffe Ln
City
State
Zip
22191-4438
Phone Number
703-475-9365
Fax Number
person
Provider Business Mailing Address Details
Address
16621 Radcliffe Ln
City
State
Zip
22191-4438
Phone Number
703-475-9365
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AC003964 (Maryland)
Definition
Definition to come...
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