NPI 1013152784

Kim Rae Guastella, CNMARNP

Practitioner Midwife Leesburg, VA

Practice location

Address: 19465 Deerfield Ave Suite 205, Leesburg, VA 20176-1701
Phone: (703) 726-1300
Fax: (703) 726-9612
Mailing address: PO Box 17334, Baltimore, MD 21297-1334

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 0024168019 (VA)

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Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence ARNP9319862 (FL)

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Registry record

NPI: 1013152784
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2008
Record last updated: 26 Sep 2013

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.