Individual
MS. ROSE ANNA CLAIRE ALLDREDGE-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
(703) 391-2020
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006304
VA
363AM0700X
Medical Physician Assistant
0110006304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110006304
STATE LICENSE
VA
Enumeration date
10/09/2018
Last updated
10/29/2021
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