Doctor Name: | MS. ZITA BRIGITTA BUKY |
NPI Number: | 1104150598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024164051 |
Business Practice Address: | 9010 Lorton Station Blvd Ste 220 Lorton, VA - 220794792 |
Business Phone Number: | 7032206006 |
Business Fax Number: | 7036465262 |
Mailing Address: | 9010 Lorton Station Blvd, Ste 220 LORTON |
State: | VA |
Postal Code: | 220794792 |
Phone Number: | 7032206006 |
Fax Number: | 7036465262 |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024164051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |