Provider Demographics
NPI:1457629057
Name:PERLMAN, ANDREA G (FNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:G
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5741
Mailing Address - Fax:571-423-5701
Practice Address - Street 1:6230 ROLLING RD STE IANDJ
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2307
Practice Address - Country:US
Practice Address - Phone:571-665-6460
Practice Address - Fax:571-665-6561
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily