MOLLY BOYER BROACHE (NPI# 1487194262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487194262 |
| Entity Type | Individual |
| Full Name | MOLLY BOYER BROACHE |
| Credential | W.H.N.P. |
| Practice Address |
3650 Joseph Siewick Dr Suite 203 Fairfax VA 22033-1710 |
| Practice Telephone | 7033911500 |
| Mailing Telephone | 7033911500 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024174612 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3650 JOSEPH SIEWICK DR SUITE 203 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596692 | Noemi S. Dosova | Pediatrics | 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 | 2005-05-24 |
| 1215546395 | Ryan Lawson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-07-24 |
| 1043842503 | Shereen A Robinson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-02-12 |
| 1700373982 | Brenda D Carpenter | Pharmacist | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2018-04-13 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1407209307 | Tara Lynne Kiser | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-07-15 |
| 1003266552 | Thuy Phuong Thi Vo | Family Medicine | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-06-15 |
| 1760897342 | Melissa Suzanne Rogina | Advanced Practice Midwife | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2014-06-23 |
| 1104230929 | Clare Gosek | Family Medicine | 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 | 2014-06-19 |
| 1740694561 | William Carl Stallard | Family Medicine | 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 | 2014-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
| 1295394526 | Elise Mcmanaman | Nurse Practitioner | 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 | 2019-06-11 |
| 1043767874 | Kelly Gallo | Nurse Practitioner | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2016-09-09 |
| 1164812723 | Jessica Padilla | Nurse Practitioner | 3025 Hamaker Ct, Suite #360, Fairfax, VA 22031-2237 | 2015-02-03 |
| 1629366992 | Leah Catherine Elk | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2011-07-20 |
| 1053580597 | Carola (none) Bruflat | Nurse Practitioner | 8501 Arlington Blvd Ste 300, Fairfax, VA 22031-4625 | 2008-02-28 |
| 1104979061 | Delois Daniels | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358651 | Mickeya Patrice Hayes | Nurse Practitioner | 700 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2020-08-26 |
| 1538790092 | Megan Renae Deel | Nurse Practitioner | 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 | 2020-02-03 |
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1609419704 | Crystal Zacker | Nurse Practitioner | 3843 Mountain Rd, Glen Allen, VA 23060-1936 | 2019-10-21 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1326500976 | Adetutu Marioghae | Nurse Practitioner | 12783 Sidney Way, Lake Ridge, VA 22192-7611 | 2019-04-03 |
| 1568928398 | Laurie Carpenter | Nurse Practitioner | 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 | 2019-02-18 |
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1437604881 | Rosalie Marie Gunson | Nurse Practitioner | 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 | 2016-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.