Individual
MRS. NADIA PERITSALIS HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6849 OLD DOMINION DR STE 450, MC LEAN, VA 22101-3718
(703) 356-5111
Mailing address
604 H ST SW, WASHINGTON, DC 20024-2728
(251) 610-4139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007100
VA
363AM0700X
Medical Physician Assistant
AMD-585
HI
Other
Enumeration date
12/02/2011
Last updated
01/13/2021
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