MEDICARE: MRS. DIANE R FENLASON FNP

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	363LF0000X	Family Nurse Practitioner	0024164993	VA

General Provider Information

NPI Number	:	1639160344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE R FENLASON FNP

Provider Business Mailing Address
First Line	:	15504 RIDGECREST DR
Second Line	:
City	:	MONTCLAIR
State	:	VA
Zip	:	22025-1111
Country	:	US
Telephone Number	:	703-878-2528
Fax Number	:

Provider Business Practice Location Address
First Line	:	15504 RIDGECREST DR
Second Line	:
City	:	MONTCLAIR
State	:	VA
Zip	:	22025-1111
Country	:	US
Telephone Number	:	703-878-2528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	04/09/2015

Similar Medicare Providers

1780866178 — POTOMAC PODIATRY ASSOCIATES LTD
Practice Location Address:

15700 CHAPMAN PL
MONTCLAIR, VA
22025-1315

Practice Phone: 703-370-5533
Practice Fax: 703-680-9579

1134392764 — MS. CLAIRE ANN HOAGLAND L.C.S.W.
Practice Location Address:

4174 WATERWAY DR
MONTCLAIR, VA
22025-1603

Practice Phone: 703-878-4664
Practice Fax:

1861665903 — DR. GREGG LOUIS KASSAN D.D.S.
Practice Location Address:

5077 WATERWAY DR
MONTCLAIR, VA
22025-1259

Practice Phone: 703-897-0463
Practice Fax: 703-897-1155

1851795546 — ALISON PATTON RN
Practice Location Address:

15827 VISTA DR
MONTCLAIR, VA
22025-1808

Practice Phone: 661-305-8330
Practice Fax:

1063884484 — MRS. BARBARA WOLF MED, BCBA, LBA
Practice Location Address:

15452 SILVAN GLEN DR
MONTCLAIR, VA
22025-1012

Practice Phone: 571-334-5001
Practice Fax:

1962850677 — JENNA FORESTER RN BSN IBCLC
Practice Location Address:

15736 VISTA DR
MONTCLAIR, VA
22025-1812

Practice Phone: 540-320-0118
Practice Fax:

Directions to “ MRS. DIANE R FENLASON FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.