Individual
TAYLOR A MASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8640 SUDLEY RD STE 201, MANASSAS, VA 20110-4404
(703) 368-6819
Mailing address
8640 SUDLEY RD STE 201, MANASSAS, VA 20110-4404
(703) 368-6819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006121
VA
363A00000X
Physician Assistant
363A00000X
VA
363AM0700X
Medical Physician Assistant
0110006121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110006121
VA BOARD OF MEDICINE
VA
Enumeration date
03/16/2018
Last updated
02/12/2024
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