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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY CAPERS BOAN, PA-C

Active

TIMOTHY CAPERS BOAN, PA-C is a Physician Assistant healthcare provider located in MANASSAS, Virginia. NPI 1477570182 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MANASSAS, VA

Registration Details

NPI Number
1477570182
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.037025443674 yrs)
Last Updated
Feb 20, 2013
Licenses
0110001834 (VA)
C0002904 (MD)

Practice Information

Address
8700 SUDLEY RD
MANASSAS, VA, 201104418
Browse VA providers · Browse ZIP 20110
Phone
8668281780
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MANASSAS, VA

Name Credential NPI
JACQUELINE E CONCAUGH-GRUENDEL PA 1538121835
NICOLE M CURRY PA 1669434965
MEGAN M FAY PA 1295780344
IRENE D MAPLE PA 1427093384
REBECCA C KNERR PA 1972548832
LISA A LUGENT PA 1336185735
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.