IndividualActive
Alison Mantua, PA-C
NPI 1184771677 · Medical Physician Assistant · Fairfax, VA
Provider details
- NPI number
- 1184771677
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0110001075 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8503 Arlington Blvd
Suite 310
Fairfax, VA 22031-4628
Phone: (703) 208-4200
Fax: (703) 876-1799
Approximate (ZIP-level) locationGet directions
Mailing address
8503 Arlington Blvd
Fairfax, VA 22031-4628
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2010-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.