Provider Demographics
NPI:1417724634
Name:SIPP, VIRGINIA ELVIRA (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:ELVIRA
Last Name:SIPP
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:ELVIRA
Other - Last Name:SIPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, FNP-BC
Mailing Address - Street 1:2984 RITTENHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-6203
Mailing Address - Country:US
Mailing Address - Phone:202-413-1995
Mailing Address - Fax:
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2633
Practice Address - Country:US
Practice Address - Phone:771-212-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP0960229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily