Physician Assistant, Medical
ANGELIQUE BLACK PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1932127644 · enumerated 2006-07-18 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 11240 WAPLES MILL ROAD, SUITE 403, FAIRFAX, VA, 22030 (703) 246-8080 Fax (703) 691-4932 Google Maps Apple Maps OpenStreetMap
- Practice location 1850 TOWN CENTER PARKWAY, SUITE 400, RESTON, VA, 20190 (703) 689-0300 Fax (703) 787-9664 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 0110002122 VA
In this directory
Locations and evidence
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Practice location
RESTON, VA, 20190
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.