Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Astrid Witherspoon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740950401

Astrid Witherspoon is a Student in an Organized Health Care Education/Training Program in Fairfax, Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

12111 Polo Dr Apt 122
Fairfax, VA 22033-4026
Phone: (512) 897-5564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740950401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address12111 Polo Dr Apt 122, Fairfax, VA 22033-4026

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