Organization
MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA LYNN MATHIS RN, CNM (OWNER/NURSE PRACTIONER)
(703) 330-3285
Entity
Organization
Contact information
Practice address
8424 DORSEY CIR, SUITE #101, MANASSAS, VA 20110-8301
(703) 330-3285
(703) 330-3286
Mailing address
8424 DORSEY CIR, SUITE #101, MANASSAS, VA 20110-8301
(703) 330-3285
(703) 330-3286
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024167746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760620892
—
VA
01
—
371004
ANTHEM
VA
Enumeration date
09/26/2009
Last updated
09/26/2009
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