Mcclay, Amanda Nicole
Mcclay, Amanda Nicole is an individual health care provider with primary practice located at 3998 Fair Ridge Dr Ste 290 , Fairfax VA 22033-2907. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Mcclay, Amanda Nicole can be contacted via phone (703) 359-5900.Contact Information
Primary practice address
3998 Fair Ridge Dr Ste 290
Fairfax VA 22033-2907
Phone: (703) 359-5900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 0024174339 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 0024174339 | Virginia |
Profile Details
NPI number | 1528503422 |
---|---|
LBN Legal business name | Mcclay, Amanda Nicole |
Credentials | CNM, WHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 31st, 2016 |
Last updated | Nov 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528503422 | NPPES |
Virginia | Other | 0024174339 | STATE LICENSE |
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