Bonvissuto, Mary
Bonvissuto, Mary is an individual health care provider with primary practice located at 11484 Washington Plz W Ste 300 , Reston VA 20190-4342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bonvissuto, Mary can be contacted via phone (703) 443-2000.Contact Information
Primary practice address
11484 Washington Plz W Ste 300
Reston VA 20190-4342
Phone: (703) 443-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024188379 | Virginia |
Profile Details
| NPI number | 1316713480 |
|---|---|
| LBN Legal business name | Bonvissuto, Mary |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2023 |
| Last updated | Nov 30th, 2023 - about last year |
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.
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