# PASSIONATE NURSE PRACTITIONER SERVICES LLC

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

## Provider details

- **NPI number:** 1750234670
- **Authorized official:** KHADIJA MACAULLY NP (NURSE PRACTITIONER)
- **Authorized official phone:** (540) 571-0299

## Contact information

- **Practice address:** 8401 MAYLAND DR \# 11441, RICHMOND, VA 23294-4648
- **Practice address phone:** (571) 703-1740
- **Practice address fax:** (571) 222-1090
- **Mailing address:** 8401 MAYLAND DR \# 11441, RICHMOND, VA 23294-4648
- **Mailing address phone:** (571) 703-1740
- **Mailing address fax:** (571) 222-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/19/2026
- **Last updated:** 09/14/2026