Provider Demographics
NPI:1770817785
Name:AMURRIO SEJAS, LITZA (PA - C)
Entity Type:Individual
Prefix:
First Name:LITZA
Middle Name:
Last Name:AMURRIO SEJAS
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 W BROAD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3257
Mailing Address - Country:US
Mailing Address - Phone:703-940-0000
Mailing Address - Fax:703-533-0321
Practice Address - Street 1:513 W BROAD ST STE 100
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3257
Practice Address - Country:US
Practice Address - Phone:703-940-0000
Practice Address - Fax:703-533-0321
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA363A00000X
DC363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant