Provider Demographics
NPI:1336178516
Name:CHOI, JULIANA (NP)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 MAIN ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4727
Mailing Address - Country:US
Mailing Address - Phone:703-591-4100
Mailing Address - Fax:
Practice Address - Street 1:10801 MAIN STREET
Practice Address - Street 2:SUITE 700
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4727
Practice Address - Country:US
Practice Address - Phone:703-591-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA016946M58Medicare UPIN