Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELIQUE V BLACK, PA
ActiveANGELIQUE V BLACK, PA is a Medical Physician Assistant healthcare provider located in RESTON, Virginia. NPI 1932127644 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · RESTON, VA
Registration Details
- NPI Number
- 1932127644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (20.045669872968 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0110002122 (VA)
Practice Information
- Address
-
1850 TOWN CENTER PARKWAYSUITE 400RESTON, VA, 20190Browse VA providers · Browse ZIP 20190
- Phone
- 7036890300
- Fax
- 7037879664
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN FREDERICK WILLIAMS | PA | 1790769453 |
| SHANNON MARIE ASKO | PA | 1730153313 |
| MRS. COLLEEN DENISE KELLEY | PA-C | 1861433088 |
| BRITT CHRISTINA KLICK | PA | 1073530135 |
| ELIZABETH HAMILTON SIBERT | PA-C | 1053413385 |
| MS. KATHLEEN MARIE ST.GERMAIN | PA-C | 1790802528 |
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.