Provider Demographics
NPI:1730910407
Name:SOLIS, PATRICIA T (FNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:T
Last Name:SOLIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7051 HEATHCOTE VILLAGE WAY STE 155
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3268
Mailing Address - Country:US
Mailing Address - Phone:571-248-0167
Mailing Address - Fax:571-248-0173
Practice Address - Street 1:7051 HEATHCOTE VILLAGE WAY STE 155
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3268
Practice Address - Country:US
Practice Address - Phone:571-248-0167
Practice Address - Fax:571-248-0173
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty