Bozzelli, Mary Jean

Bozzelli, Mary Jean is an individual health care provider with primary practice located at 2200 Opitz Blvd. Ste 250, Woodbridge VA 22191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bozzelli, Mary Jean can be contacted via phone (703) 494-5858.

Contact Information

Primary practice address
2200 Opitz Blvd. Ste 250 Woodbridge VA 22191
Phone: (703) 494-5858
Fax: (703) 491-1416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024065287 Virginia

Profile Details

NPI number 1871662338
LBN Legal business name Bozzelli, Mary Jean
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Dec 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871662338 NPPES
Virginia Other 0017000561 LICENSE

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