Provider Demographics
NPI:1932468162
Name:RICCI, MARIA OLIVIA A (MSN, ANP-BC)
Entity Type:Individual
Prefix:
First Name:MARIA OLIVIA
Middle Name:A
Last Name:RICCI
Suffix:
Gender:F
Credentials:MSN, ANP-BC
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Other - First Name:
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Mailing Address - Street 1:8101 HINSON FARM RD STE 408
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3409
Mailing Address - Country:US
Mailing Address - Phone:703-780-9014
Mailing Address - Fax:703-780-9077
Practice Address - Street 1:8101 HINSON FARM RD STE 408
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3409
Practice Address - Country:US
Practice Address - Phone:703-780-9014
Practice Address - Fax:703-780-9077
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP012108363LA2200X
VA0024171345363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health