person
Ellen T. Godfrey
Medical Physician Assistant in Leesburg, Virginia
NPI 1437564911

Ellen T. Godfrey is a Medical Physician Assistant based in Leesburg, VA and is specialized in Medical. Ellen T. Godfrey practices in Leesburg, VA. The NPI Number for Ellen T. Godfrey is 1437564911 and holds a License No. 0110-004631 (Virginia).

The current practice location address for Ellen T. Godfrey is 44084 Riverside Parkway, Suite 300, Leesburg, VA and can be reached out via phone at 703-724-7530. You can also correspond with Ellen T. Godfrey through the mailing address at 224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA - 20176-2704 (mailing address contact number: 703-737-6010).

Location: 44084 Riverside Parkway, Suite 300, Leesburg, VA, 20176-2704
person
Provider Profile Details
NPI Number
1437564911
Provider Name
Ellen T. Godfrey
Credential
Provider Entity Type
Individual
Gender
Female
Address
44084 Riverside Parkway, Suite 300, Leesburg, VA, 20176-2704
Phone Number
703-724-7530
Fax Number
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30016466390003 05 VA
1437564911 05 VA
institution
Provider Business Practice Location Address Details
Address
44084 Riverside Parkway, Suite 300
City
State
Zip
20176-5102
Phone Number
703-724-7530
Fax Number
person
Provider Business Mailing Address Details
Address
224-D Cornwall Street, Nw, Suite 403
City
State
Zip
20176-2704
Phone Number
703-737-6010
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110-004631 (Virginia)
Definition
Definition to come...
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