Provider Demographics
NPI:1104150598
Name:BUKY, ZITA BRIGITTA (NP)
Entity type:Individual
Prefix:MS
First Name:ZITA
Middle Name:BRIGITTA
Last Name:BUKY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9010 LORTON STATION BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4792
Mailing Address - Country:US
Mailing Address - Phone:703-220-6006
Mailing Address - Fax:703-646-5262
Practice Address - Street 1:9010 LORTON STATION BLVD
Practice Address - Street 2:STE 220
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4792
Practice Address - Country:US
Practice Address - Phone:703-220-6006
Practice Address - Fax:703-646-5262
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2015-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024164051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily