Doctor Name: | MS. RENEE MAY |
NPI Number: | 1023329877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C04251 |
Business Practice Address: | 2300 Opitz Blvd Sentara Northern Virginia Medical Center Woodbridge, VA - 221913311 |
Business Phone Number: | 7095231486 |
Business Fax Number: | |
Mailing Address: | 2700 16th St S, #651 ARLINGTON |
State: | VA |
Postal Code: | 222044962 |
Phone Number: | 8563813514 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2010 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C04251 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |