Individual
AMELIA ELLEN PITHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
19450 DEERFIELD AVE STE 100, LEESBURG, VA 20176-6821
(571) 350-3668
(703) 729-2689
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024178328
VA
Other
Enumeration date
11/25/2019
Last updated
01/19/2023
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