Individual
CONNIE VAN BAAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
24430 STONE SPRINGS BLVD., SUITE 550, DULLES, VA 20166-2269
(703) 957-1245
(703) 665-2374
Mailing address
1330 AMHERST ST STE C, WINCHESTER, VA 22601-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024175529
VA
367A00000X
Advanced Practice Midwife
Primary
0024175529
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285146076
—
VA
Enumeration date
11/01/2017
Last updated
04/30/2024
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