Individual
ANN K SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12101 CAROL LN, FREDERICKSBURG, VA 22407-6101
(540) 785-7815
(540) 786-8620
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-6673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840747
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010370710
—
VA
01
—
01110840747
MEDICAL LICENSE
VA
01
—
C02375
MEDICARE GROUP
VA
Enumeration date
12/12/2006
Last updated
09/03/2014
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