Provider Demographics
NPI:1790473593
Name:VIRTUAL ACCESS CARE LLC
Entity Type:Organization
Organization Name:VIRTUAL ACCESS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ABBAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-533-1182
Mailing Address - Street 1:14502 GREENVIEW DR STE 545
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3287
Mailing Address - Country:US
Mailing Address - Phone:240-473-3007
Mailing Address - Fax:949-695-2194
Practice Address - Street 1:14502 GREENVIEW DR STE 545
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3287
Practice Address - Country:US
Practice Address - Phone:240-473-3007
Practice Address - Fax:949-695-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care