Paruchabutr, Komkwuan Pholtavee

Paruchabutr, Komkwuan Pholtavee is an individual health care provider with primary practice located at 9600 Dewitt Loop , Fort Belvoir VA 22060. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Paruchabutr, Komkwuan Pholtavee can be contacted via phone (703) 424-5112.

Contact Information

Primary practice address
9600 Dewitt Loop Fort Belvoir VA 22060
Phone: (703) 424-5112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 207275 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1689976367
LBN Legal business name Paruchabutr, Komkwuan Pholtavee
Credentials WHNP-BC, FNP-BC, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated May 10th, 2021 - about 5 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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