person
Mrs. Kristin Vidwans, PA
Medical Physician Assistant in Annandale, Virginia
NPI 1770671919

Kristin Vidwans is a Medical Physician Assistant based in Falls Church, VA and is specialized in Medical. Kristin Vidwans practices in Annandale, VA and has the professional credentials of PA. The NPI Number for Kristin Vidwans is 1770671919 and holds a License No. 0110002272 (Virginia).

The current practice location address for Kristin Vidwans is 6715 Little River Tpke, Annandale, VA and can be reached out via phone at 703-914-3640 and via fax at 703-914-2536.

Location: 6715 Little River Tpke, Annandale, VA, 22043-2556
person
Provider Profile Details
NPI Number
1770671919
Provider Name
Kristin Vidwans
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6715 Little River Tpke, Annandale, VA, 22043-2556
Phone Number
703-914-3640
Fax Number
703-914-2536
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0110002272 01 VA LICENSE
institution
Provider Business Practice Location Address Details
Address
6715 Little River Tpke
City
State
Zip
22003-3546
Phone Number
703-914-3640
Fax Number
703-914-2536
person
Provider Business Mailing Address Details
Address
6715 Little River Tpke
City
State
Zip
22003-3546
Phone Number
703-914-3640
Fax Number
703-914-2536
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110002272 (Virginia)
Definition
Definition to come...
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