Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE MANTLE MEDICINE PLLC
Active OrganizationBLUE MANTLE MEDICINE PLLC is a Pediatrics organization located in FAIRFAX, Virginia. NPI 1417658980 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · FAIRFAX, VA
Registration Details
- NPI Number
- 1417658980
- Provider Type
- Organization
- NPI Issued
- Mar 13, 2023 (3.3779596663592 yrs)
- Last Updated
- Mar 13, 2023
Practice Information
- Address
-
4001 FAIR RIDGE DR STE 305FAIRFAX, VA, 220332917Browse VA providers · Browse ZIP 22033
- Phone
- 5407014767
- Fax
- 7035209880
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Organizations in FAIRFAX, VA
| Name | NPI |
|---|---|
| TRUSTED DOCTORS LLC | 1083793525 |
| VIRGINIA PEDIATRIC GROUP, LTD | 1396874905 |
| PEDIATRIC PARTNERS OF NORTHERN VIRGINIA | 1811168081 |
| B.I.LEE,M.D.,P.C. | 1700047909 |
| CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC | 1639304918 |
| PEDIATRIC SPECIALISTS OF VIRGINIA, LLC | 1699119818 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.