Provider Demographics
NPI:1144737230
Name:ATARA HEALTH SOLUTIONS LTD
Entity Type:Organization
Organization Name:ATARA HEALTH SOLUTIONS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:JACOBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, NP-C, PMHNP-BC
Authorized Official - Phone:571-535-2480
Mailing Address - Street 1:12210 FAIRFAX TOWNE CTR STE 702
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2877
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14631 LEE HWY STE 207
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-5827
Practice Address - Country:US
Practice Address - Phone:571-535-2480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty