Millicent M Mutisya
Nurse Practitioner - Family
8613 Route 29 # 200n, Fairfax
Virginia, 22031-2171
571-350-8400
Millicent M Mutisya is a Fairfax, Virginia based nurse practitioner who is specialized as Family nurse. Active license number of Millicent M Mutisya is 0024180473 for Family 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 Family and her NPI number (Unique professional ID assigned by NPPES) is 1285308528.
Millicent M Mutisya delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
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.
| Name: | Millicent M Mutisya |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Practice Address: | 8613 Route 29 # 200n, Fairfax,
Virginia, 22031-2171 |
| Phone: | 571-350-8400 |
| Fax: | 703-280-9596 |
Professional Identification Codes:
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: | 11 Nov, 2025 |
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 | Family | Virginia | Primary | |
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: | 703-280-9596 |
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.