Bidwell, Alice Susan
Bidwell, Alice Susan is an sole proprietor health care provider with primary practice located at 11250 Roger Bacon Dr Suite 12, Reston VA 20190-5219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bidwell, Alice Susan can be contacted via phone (703) 424-0461.Contact Information
Primary practice address
11250 Roger Bacon Dr Suite 12
Reston VA 20190-5219
Phone: (703) 424-0461
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 0015000280 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 0015000280 | Virginia |
Profile Details
NPI number | 1689753089 |
---|---|
LBN Legal business name | Bidwell, Alice Susan |
Credentials | Clinical Nurse Specialist (CNS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 4th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689753089 | NPPES |
Virginia | MEDICAID | 5510241 | |
Virginia | Other | 239232 |
Popular Providers
-
Ritz, Louise C
12524 Sunrise Valley Dr , Reston VA 20191-3438 -
Gammon, Dawn Devaney
11900 Market St , Reston VA 20190-5614 -
Oh, Alice S.
12110 Sunset Hills Rd #50, Reston VA 20190-5852 -
Shaver, Timothy Roddy
1860 Town Center Dr Ste 440 , Reston VA 20190-5908 -
Shor, Robert A.
1850 Town Center Pkwy Ste 550, Reston VA 20190-3219 -
Light, Margaret Riggan
1801 Robert Fulton Dr Ste 140, Reston VA 20191-5461 -
Patterson, Wanda M
11445 Sunset Hills Rd Kaiser Permanente Reston Medical Center, Reston VA 20190-5276 -
Sebastien, Theodore Stewart
1800 Town Center Drive Ste 415, Reston VA 20190