Provider Demographics
NPI:1750189221
Name:ARRIETA, PAMELA ELISA (RN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ELISA
Last Name:ARRIETA
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2793 MAPLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-3808
Mailing Address - Country:US
Mailing Address - Phone:703-589-4332
Mailing Address - Fax:
Practice Address - Street 1:6820 COMMERCIAL DR
Practice Address - Street 2:5
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151
Practice Address - Country:US
Practice Address - Phone:571-347-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide