Provider Demographics
NPI:1649779166
Name:ORLOFSKY, CHAVA MIRIAM (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHAVA
Middle Name:MIRIAM
Last Name:ORLOFSKY
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 1:11400 ROCKBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3242
Mailing Address - Country:US
Mailing Address - Phone:443-902-5881
Mailing Address - Fax:
Practice Address - Street 1:3203 TOWER OAKS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4260
Practice Address - Country:US
Practice Address - Phone:301-656-6398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-10
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175852363LF0000X
MDR211788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily