Provider Demographics
NPI:1457666117
Name:CARRINHO, AIZETTE C
Entity Type:Individual
Prefix:MS
First Name:AIZETTE
Middle Name:C
Last Name:CARRINHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIZETTE
Other - Middle Name:
Other - Last Name:MELICIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN
Mailing Address - Street 1:45662 TERMINAL DR. STE 200
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166
Mailing Address - Country:US
Mailing Address - Phone:703-431-4706
Mailing Address - Fax:
Practice Address - Street 1:45662 TERMINAL DR. STE 200
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2823
Practice Address - Country:US
Practice Address - Phone:703-431-4706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-2230033747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider