Unknown Individual – Nurse Practitioner, NPI 1528029469
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
10400, Eaton Place, Fairfax, Virginia, 22030, United States
#410
FAIRFAX, VA 22030
Phone: (703) 359-5160
Fax: (703) 383-9574
Type: Mailing
407, North Washington Street, Falls Church, Virginia, 22046, United States
#100
FALLS CHURCH, VA 22046
Phone: (703) 237-5919
Fax: (703) 241-1863
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22030)
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