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NPI 1790250439 · live from the CMS NPI Registry

Rose Anna Claire Alldredge-Brown, PA-C

Physician Assistant in Fairfax, VA. National Provider Identifier 1790250439, active.

NPI record

NPI1790250439 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033
Practice phone703-391-2020
Mailing addressPo Box 37189, Baltimore, MD 21297
EnumeratedOctober 9, 2018
Last updatedOctober 29, 2021
Sole proprietorNo
Other namesAnna Claire Brown

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical363AM0700X0110006304 (VA)
Physician Assistant primary363A00000X0110006304 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.