Mcclay, Amanda Nicole

Mcclay, Amanda Nicole is an individual health care provider with primary practice located at 3998 Fair Ridge Dr Ste 290 , Fairfax VA 22033-2907. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Mcclay, Amanda Nicole can be contacted via phone (703) 359-5900.

Contact Information

Primary practice address
3998 Fair Ridge Dr Ste 290 Fairfax VA 22033-2907
Phone: (703) 359-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024174339 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024174339 Virginia

Profile Details

NPI number 1528503422
LBN Legal business name Mcclay, Amanda Nicole
Credentials CNM, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2016
Last updated Nov 28th, 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 1528503422 NPPES
Virginia Other 0024174339 STATE LICENSE

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