Millicent M Mutisya is a Fairfax, Virginia based nurse practitioner who is specialized as Primary Care nurse. Active license number of Millicent M Mutisya is 0024180473 in Virginia. Her current practice location is 8613 Route 29 # 200n, Fairfax. Patients can reach her at 571-350-8400 or can fax her at 703-280-9596 with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1285308528. Millicent M Mutisya is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Millicent M Mutisya speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1285308528
NPI Enumeration Date:
02 Aug, 2021
NPI Last Update On:
24 Apr, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Millicent M Mutisya are as mentioned below.
License Number
Specialization
State
Status
0024180473
Virginia
Primary
0024180473
Primary Care
Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Millicent M Mutisya such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2H1702
Other
District Of Columbia
MEDICARE PTAN
1285308528
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Millicent M Mutisya 3040 Williams Dr Ste 100, Fairfax, Virginia
Zip:
22031-4618
Phone Number:
571-350-8400
Fax Number:
703-940-8697
Patients can reach Millicent M Mutisya at 8613 Route 29 # 200n, Fairfax, Virginia or can call to book an appointment on 571-350-8400.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.