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NPI Code Detail

MEDICARE: TERENCE JOHN MCMANUS F.N.P.

MEDICARE: TERENCE JOHN MCMANUS F.N.P.
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 Practitioner0024169149VA

General Provider Information

NPI Number : 1619964137
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERENCE JOHN MCMANUS F.N.P.
Provider Business Mailing Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number : 703-979-1436
Provider Business Practice Location Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number : 703-979-1436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 08/09/2021

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