Frickel, Mary Joseph

Frickel, Mary Joseph is an individual health care provider with primary practice located at 1800 Town Center Drive, Suite 220 , Reston VA 20190-3238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frickel, Mary Joseph can be contacted via phone (703) 435-2555.

Contact Information

Primary practice address
1800 Town Center Drive, Suite 220 Reston VA 20190-3238
Phone: (703) 435-2555
Fax: (571) 926-8910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024121397 Virginia

Profile Details

NPI number 1053556175
LBN Legal business name Frickel, Mary Joseph
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Mar 6th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053556175 NPPES
Virginia MEDICAID 1053556175
Virginia MEDICAID 30015909410002

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