Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYAM N/A NICKSOLAT
ActiveMARYAM N/A NICKSOLAT is a Physician Assistant healthcare provider located in MC LEAN, Virginia. NPI 1215027545 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MC LEAN, VA
Registration Details
- NPI Number
- 1215027545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2006 (19.817133649684 yrs)
- Last Updated
- Apr 24, 2017
- License
-
0110001340 (VA)
Practice Information
- Address
-
8370 GREENSBORO DRMC LEAN, VA, 221023515Browse VA providers · Browse ZIP 22102
- Phone
- 7032007727
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MC LEAN, VA
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE A COETZEE | PA-C | 1942273594 |
| JESSICA ANN BOCK | PA | 1982772612 |
| MS. LAURA ANN RICARD | PA-C | 1619038270 |
| MS. MELINDA DAWN RICKER | PA-C | 1932239381 |
| MR. SUNG RYAN SHIN | PA-C, DHSC | 1912220112 |
| MAUREEN MIRANDA | PA-C, MSPAS, MPH | 1972805604 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.