# NOVA FAMILY HEALTH PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568219970
- **Authorized official:** DR. MADELEINE WILSON HAO DNP (OWNER)
- **Authorized official phone:** (703) 420-3267

## Contact information

- **Practice address:** 11260 ROGER BACON DR STE 204, RESTON, VA 20190-5252
- **Practice address phone:** (703) 420-3276
- **Practice address fax:** (703) 420-3654
- **Mailing address:** 11260 ROGER BACON DR STE 204, RESTON, VA 20190-5252
- **Mailing address phone:** (703) 420-3267
- **Mailing address fax:** (703) 420-3654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2024
- **Last updated:** 06/04/2024