Doctor Name: | BRITT CHRISTINA KLICK |
NPI Number: | 1073530135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 0110002106 |
Business Practice Address: | 1850 Town Center Pkwy Suite 400 Reston, VA - 201903219 |
Business Phone Number: | 7038105202 |
Business Fax Number: | 7037879664 |
Mailing Address: | Po Box 71230, PHILADELPHIA |
State: | PA |
Postal Code: | 191766230 |
Phone Number: | 7033836469 |
Fax Number: | 7033830575 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110002106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |