Provider Demographics
NPI:1437713542
Name:ALDRICH, ANN MARIE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:ALDRICH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 LINDEN DR, WINCHESTER
Mailing Address - Street 2:SUITE #100,
Mailing Address - City:WINCEHSTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:504-722-8172
Mailing Address - Fax:
Practice Address - Street 1:172 LINDEN DR, WINCHESTER
Practice Address - Street 2:SUITE #100,
Practice Address - City:WINCEHSTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:504-722-8172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0017145519OtherDEPARTMENT OF HEALTH PRESCRIBER NUMBER
VA0024176968OtherVA BOARD OF NURSING
F10181016OtherAANP