Unknown Individual – Family Nurse Practitioner, NPI 1003268905
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
863, Glenrock Road, Glen Rock, Fairlawn Estates, Norfolk, Virginia, 23502, United States
NORFOLK, VA 235023701
Phone: (757) 252-2900
Fax: (757) 252-3235
Type: Mailing
Parke Long Court, Chantilly, Fairfax County, Virginia, 20151, United States
CHANTILLY, VA 201511647
Phone: (757) 692-1280
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA |
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