Organization
VIRGINIA MIDWIFERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PEKIN CPM, RN (MEMBER)
(540) 709-1737
Entity
Organization
Contact information
Practice address
4200A TECHNOLOGY CT, CHANTILLY, VA 20151-1214
(540) 709-1737
(866) 611-3615
Mailing address
17232 PICKWICK DR, PURCELLVILLE, VA 20132-3100
(240) 422-3889
(866) 611-3615
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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