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Dr. Alice Susan Bidwell, CNS
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Reston, Virginia
NPI 1689753089

Alice Susan Bidwell is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Reston, VA and is specialized in Psychiatric/Mental Health, Adult. Alice Susan Bidwell practices in Reston, VA and has the professional credentials of CNS. The NPI Number for Alice Susan Bidwell is 1689753089 and holds a License No. 0015000280 (Virginia).

The current practice location address for Alice Susan Bidwell is 11250 Roger Bacon Dr, Reston, VA and can be reached out via phone at 703-424-0461. You can also correspond with Alice Susan Bidwell through the mailing address at 11250 ROGER BACON DR, RESTON, VA - 20190-5219 (mailing address contact number: 703-424-0461).

Location: 11250 Roger Bacon Dr, Reston, VA, 20190-5219
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Provider Profile Details
NPI Number
1689753089
Provider Name
Alice Susan Bidwell
Credential
CNS
Provider Entity Type
Individual
Gender
Female
Address
11250 Roger Bacon Dr, Reston, VA, 20190-5219
Phone Number
703-424-0461
Fax Number
Provider Enumeration Date
11/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5510241 05 VA
239232 01 VA ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
11250 Roger Bacon Dr
City
State
Zip
20190-5219
Phone Number
703-424-0461
Fax Number
person
Provider Business Mailing Address Details
Address
11250 Roger Bacon Dr
City
State
Zip
20190-5219
Phone Number
703-424-0461
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0015000280 (Virginia)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
0015000280 (Virginia)
Definition
Definition to come...
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