Alice Susan Bidwell in Reston - Psychiatric/mental Health, Adult
Alice Susan Bidwell - NPI 1689753089
Alice Susan Bidwell is a Psychiatric/mental Health, Adult in Reston, Virginia. Alice Susan Bidwell practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Alice Susan Bidwell is 1689753089. The last update date is 2007-07-08.
Alice Susan Bidwell's current location address is 11250 Roger Bacon Dr, Reston, Virginia. You can contact this provider via phone number 7034240461. The mailing address for Alice Susan Bidwell is 11250 Roger Bacon Dr, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Susan Bidwell |
|---|---|
| Address | 11250 Roger Bacon Dr, Reston, Virginia |
| Phone Number | 7034240461 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CNS |
NPI Number Detail
| NPI Number | 1689753089 |
|---|---|
| Provider Enumeration Date | 2006-11-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11250 Roger Bacon Dr |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201905219 |
| Phone Number | 7034240461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 15000280 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5510241 | VA | -- | |
| 239232 | VA | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Alice Susan Bidwell by the Centers for Medicare & Medicaid Services?
The Alice Susan Bidwell has been assigned the NPI (National Provider Identifier) 1689753089. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Alice Susan Bidwell is geographically located?
The Alice Susan Bidwell is physically situated at the following location: 11250 Roger Bacon Dr, Reston, VA, 201905219.
What is Alice Susan Bidwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alice Susan Bidwell is Psychiatric/mental Health, Adult, and the corresponding taxonomy classification code for this specialized field is 364Sp0809X.
On what date was the 1689753089 assigned to Alice Susan Bidwell?
The Alice Susan Bidwell was issued its 1689753089 on 2006-11-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Alice Susan Bidwell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Alice Susan Bidwell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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