Individual
AMY BECKWITH REMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24430 STONE SPRINGS BLVD., SUITE 550, DULLES, VA 20166-2269
(571) 957-1245
(036) 652-3747
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003231
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00110003231
VA LICENSE
VA
05
—
1902137193
—
VA
Enumeration date
01/27/2010
Last updated
03/07/2024
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