Doctor Name: | DR. ANNALISE D'ANDRADE |
NPI Number: | 1689832545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0116018340 |
Business Practice Address: | 3300 Gallows Rd Falls Church, VA - 220423307 |
Business Phone Number: | 7037767834 |
Business Fax Number: | |
Mailing Address: | 3011 Pine Spring Rd, FALLS CHURCH |
State: | VA |
Postal Code: | 220421342 |
Phone Number: | 5712434918 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2008 |
NPI Last Update Date: | 03/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116018340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |