Villano, Tara C

Villano, Tara C is an individual health care provider with primary practice located at 47100 Community Plz , Sterling VA 20164-1826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Villano, Tara C can be contacted via phone (703) 880-1403.

Contact Information

Primary practice address
47100 Community Plz Sterling VA 20164-1826
Phone: (703) 880-1403
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA030369 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002514 Virginia

Profile Details

NPI number 1619968906
LBN Legal business name Villano, Tara C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 6th, 2022 - about 4 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 1619968906 NPPES
Virginia MEDICAID 005814995
Virginia Other 110184642

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