Provider Demographics
NPI:1417724634
Name:SIPP, VIRGINIA ELVIRA (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:ELVIRA
Last Name:SIPP
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:ELVIRA
Other - Last Name:SIPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, FNP-BC
Mailing Address - Street 1:1201 S HAYES ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2700
Mailing Address - Country:US
Mailing Address - Phone:703-418-3790
Mailing Address - Fax:
Practice Address - Street 1:1201 S HAYES ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2700
Practice Address - Country:US
Practice Address - Phone:703-418-3790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily