Provider Demographics
NPI:1437548005
Name:BIRD, VARIN CLAIRE (PA-C)
Entity Type:Individual
Prefix:
First Name:VARIN
Middle Name:CLAIRE
Last Name:BIRD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:VARIN
Other - Middle Name:CLAIRE
Other - Last Name:ZIMMERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1742 SEAGULL CT
Mailing Address - Street 2:APT 302
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-4309
Mailing Address - Country:US
Mailing Address - Phone:571-393-0170
Mailing Address - Fax:
Practice Address - Street 1:2722 MERRILEE DR
Practice Address - Street 2:SUITE 230
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4420
Practice Address - Country:US
Practice Address - Phone:703-698-4444
Practice Address - Fax:703-204-0116
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110004844363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant