Whalio Doctors

NPI 1003126285

Kristin Dermody Maggi, PAC

Practitioner Medical Physician Assistant Fairfax, VA

Practice location

Address
3700 Joseph Siewick Dr Suite 308, Fairfax, VA 22033-1744
Phone
(703) 698-8960
Fax
(703) 716-8703

Registered specialties (3)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0110003427 (VA)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0010-02818 (NC)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA056117 (PA)

Registry record

NPI
1003126285
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Oct 2010
Record last updated
30 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.