Marin, Traci Annetta

Marin, Traci Annetta is an individual health care provider with primary practice located at 24430 Stone Springs Blvd., Suite 475 , Dulles VA 20166-2272. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Marin, Traci Annetta can be contacted via phone (703) 957-1245.

Contact Information

Primary practice address
24430 Stone Springs Blvd., Suite 475 Dulles VA 20166-2272
Phone: (703) 957-1245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024169463 Virginia

Profile Details

NPI number 1053692343
LBN Legal business name Marin, Traci Annetta
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Mar 7th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053692343 NPPES
Virginia MEDICAID 30016037770003
Virginia MEDICAID 1053692343

Popular Providers