Organization Name: | MVP ASSISTING, LLC |
NPI Number: | 1538431523 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | POLLY ANN PORTER (PRESIDENT) |
Mailing Address: | 35731 Dunthorpe Ln Purcellville |
State: | VA US |
Postal Code: | 201325225 |
Phone Number: | 5406686350 |
Fax Number: | 5406686350 |
NPI Enumeration Date: | 02/06/2012 |
NPI Last Update Date: | 10/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0110001565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |