Provider Demographics
NPI:1619763075
Name:NORTHERN VIRGINIA HAND AND NERVE
Entity type:Organization
Organization Name:NORTHERN VIRGINIA HAND AND NERVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:HAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYCOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-972-6655
Mailing Address - Street 1:8316 ARLINGTON BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5216
Mailing Address - Country:US
Mailing Address - Phone:703-972-6655
Mailing Address - Fax:
Practice Address - Street 1:8316 ARLINGTON BLVD STE 510
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-5216
Practice Address - Country:US
Practice Address - Phone:703-972-6655
Practice Address - Fax:703-738-6454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty