Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAMON J LICARI, PA
ActiveDAMON J LICARI, PA is a Physician Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1962495069 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFAX, VA
Registration Details
- NPI Number
- 1962495069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.931723312272 yrs)
- Last Updated
- Mar 15, 2022
- License
-
0110001250 (VA)
Practice Information
- Address
-
8081 INNOVATION PARK DR STE 602FAIRFAX, VA, 220314867Browse VA providers · Browse ZIP 22031
- Phone
- 5714723270
- Fax
- 5714723271
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. JULIE B CROCKER | PA | 1346235843 |
| SORAYA YUNUS | P.A. | 1285620567 |
| MR. PAUL DAVID FALKENSTEIN | PAC | 1558337048 |
| STEPHANIE ANNE SHEPARD | PA | 1396705174 |
| MAGGIE LYNN IPSARO | PA-C | 1376509109 |
| ALISSA MILLS | PA-C | 1003867003 |
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.