person
Astrid Witherspoon
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1740950401

Astrid Witherspoon is a Student in an Organized Health Care Education/Training Program based in Fairfax, VA. Astrid Witherspoon practices in Fairfax, VA. The NPI Number for Astrid Witherspoon is 1740950401 and holds a License No. (Virginia).

The current practice location address for Astrid Witherspoon is 12111 Polo Dr Apt 122, Fairfax, VA and can be reached out via phone at 512-897-5564.

Location: 12111 Polo Dr Apt 122, Fairfax, VA, 22033-4026
person
Provider Profile Details
NPI Number
1740950401
Provider Name
Astrid Witherspoon
Credential
Provider Entity Type
Individual
Gender
Female
Address
12111 Polo Dr Apt 122, Fairfax, VA, 22033-4026
Phone Number
512-897-5564
Fax Number
Provider Enumeration Date
09/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12111 Polo Dr Apt 122
City
State
Zip
22033-4026
Phone Number
512-897-5564
Fax Number
person
Provider Business Mailing Address Details
Address
12111 Polo Dr Apt 122
City
State
Zip
22033-4026
Phone Number
512-897-5564
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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