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.

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
tick
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
44084 Riverside Parkway, Suite 300
City
State
Zip
20176-5102
Phone Number
703-724-7530
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...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.