Individual
ANN ROCHELL ERMITANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-4724
(571) 472-0241
Mailing address
14989 GRASSY KNOLL CT, WOODBRIDGE, VA 22193-6004
(808) 829-1527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008315
VA
363A00000X
Physician Assistant
096
MP
363A00000X
Physician Assistant
C0007287
MD
Other
Enumeration date
05/04/2016
Last updated
08/10/2023
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