Massaro, Debra Jean

Massaro, Debra Jean is an sole proprietor health care provider with primary practice located at 13199 Centerpointe Way , Woodbridge VA 22193-5284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Massaro, Debra Jean can be contacted via phone (540) 449-6077.

Contact Information

Primary practice address
13199 Centerpointe Way Woodbridge VA 22193-5284
Phone: (540) 449-6077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024174335 Virginia

Profile Details

NPI number 1578009346
LBN Legal business name Massaro, Debra Jean
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2017
Last updated Jul 17th, 2023 - about 3 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 1578009346 NPPES
Virginia MEDICAID 0024174335

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