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NPI Code Detail

MEDICARE: REBECCA SUE PATEL NP-BC

MEDICARE:   REBECCA SUE PATEL  NP-BC
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 Practitioner0024177597VA

General Provider Information

NPI Number : 1568711810
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SUE PATEL NP-BC
Provider Business Mailing Address
First Line : 6812 MORNING BROOK TER
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22315-6117
Country : US
Telephone Number : 870-918-8057
Fax Number :
Provider Business Practice Location Address
First Line : 4010 MAURY PL STE 5B
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-2340
Country : US
Telephone Number : 703-619-6357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2012
Last Update Date : 02/11/2025

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Directions to “ REBECCA SUE PATEL NP-BC” Practice Location

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