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NPI Code Detail

MEDICARE: JANIE VILLARIN NURSE PRACTITIONER

MEDICARE:   JANIE  VILLARIN  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024166539VA

Other Identifiers

General Provider Information

NPI Number : 1205956471
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIE VILLARIN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 224-D CORNWALL STREET, NW.
Second Line : SUITE 403
City : LEESBURG
State : VA
Zip : 20176-3292
Country : US
Telephone Number : 703-737-6010
Fax Number : 703-443-8643
Provider Business Practice Location Address
First Line : 1860 TOWN CENTER DR STE 140
Second Line :
City : RESTON
State : VA
Zip : 20190-5898
Country : US
Telephone Number : 703-437-0001
Fax Number : 703-787-5739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 02/07/2026

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Directions to “ JANIE VILLARIN NURSE PRACTITIONER” Practice Location

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