Virginia Midwifery Group LLC

NPI #1386347144 in Chantilly, Virginia

Provider Information

NPI Number: 1386347144
Entity Type: Organization
Organization Name: Virginia Midwifery Group LLC
Primary Specialty: Midwife
Enumeration Date: Mar 22, 2023
Last Updated: Mar 22, 2023

Practice Location

Address: 4200A TECHNOLOGY CT
City: Chantilly
State: Virginia
ZIP Code: 20151-1214
Phone: (540) 709-1737

Authorized Official

Name: KIM PEKIN, CPM, RN
Title: MEMBER
Phone: (540) 709-1737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Advanced Practice Midwife	367A00000X
Midwife	176B00000X	Primary

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