MEDICARE: N & L ENTERPRISE INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0206009279	VA

General Provider Information

NPI Number	:	1285618405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N & L ENTERPRISE INC

Provider Business Mailing Address
First Line	:	11240 WAPLES MILL RD
Second Line	:	STE 306
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6078
Country	:	US
Telephone Number	:	703-766-8900
Fax Number	:	703-766-8899

Provider Business Practice Location Address
First Line	:	11240 WAPLES MILL RD
Second Line	:	STE 306
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6078
Country	:	US
Telephone Number	:	703-766-8900
Fax Number	:	703-766-8899

Authorized Official
Title or Position	:	CEO
Name	:	MR. EHAB SHAFIK
Credential	:
Telephone Number	:	703-766-8900

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	08/22/2020

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Directions to “N & L ENTERPRISE INC ” Practice Location

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