MEDICARE: ELDER INSIGHT, PLLC

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	251S00000X	Community/Behavioral Health Agency	0024168429	VA
2	251S00000X	Community/Behavioral Health Agency	001500463	VA

General Provider Information

NPI Number	:	1801168356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDER INSIGHT, PLLC

Provider Business Mailing Address
First Line	:	103 MELVINS END
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-2566
Country	:	US
Telephone Number	:	757-846-8237
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 MELVINS END
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-2566
Country	:	US
Telephone Number	:	757-846-8237
Fax Number	:

Authorized Official
Title or Position	:	CNS, NP
Name	:	SARAH LYNNE SEMONES
Credential	:	PMHCNS-BC, ANP-C
Telephone Number	:	757-846-8237

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	01/30/2012

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Directions to “ELDER INSIGHT, PLLC ” Practice Location

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