Doctor Name: | MRS. KRISTEN AULENBACH RUPELL |
NPI Number: | 1013966241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110001617 |
Business Practice Address: | 3300 Gallows Road Falls Church, VA - 220423307 |
Business Phone Number: | 7037763564 |
Business Fax Number: | |
Mailing Address: | 1614 N Greenbrier St, ARLINGTON |
State: | VA |
Postal Code: | 222053628 |
Phone Number: | 2022519311 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0110001617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |