Provider Demographics
NPI:1336377233
Name:PAGANELLI, VIRGINIA MARIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:MARIA
Last Name:PAGANELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 OLD COURTHOUSE RD NE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-3603
Mailing Address - Country:US
Mailing Address - Phone:703-281-2389
Mailing Address - Fax:
Practice Address - Street 1:2300 E ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20372-5300
Practice Address - Country:US
Practice Address - Phone:202-762-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001084678163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse