Individual
ANNA M DECOITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-PCNP-C
Contact information
Practice address
9450 INNOVATION DR, MANASSAS, VA 20110-2214
(571) 350-8400
(571) 222-2202
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(571) 222-2202
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024182225
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024182225
NP LICENSE
VA
05
—
1154098713
—
VA
01
—
VAE116A
MEDICARE PTAN
VA
Enumeration date
08/23/2021
Last updated
11/11/2025
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