NOVA PODIATRY AND WOUND CARE CENTER LLC VIENNA, VA

Contact Information

NOVA PODIATRY AND WOUND CARE CENTER LLC

1880 HOWARD AVE STE 202
VIENNA, VA 22182

Phone: 703-863-9393
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for NOVA PODIATRY AND WOUND CARE CENTER LLC · (Female)

NPI Number	`1285125930`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/29/2018
Last updated	08/22/2018 - About 8 years ago
Sole proprietor ¹	Not specified
Identifiers	VA License # 0103301227
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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