MEDICARE: DRIVEN HEALTH

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1902645229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRIVEN HEALTH

Provider Business Mailing Address
First Line	:	5510 CHEROKEE AVE STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-755-7296
Fax Number	:

Provider Business Practice Location Address
First Line	:	7523 RIO GRANDE WAY
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-1968
Country	:	US
Telephone Number	:	781-608-0757
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANUSHCA PARDO
Credential	:	APRN
Telephone Number	:	703-755-7296

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	05/24/2024

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Directions to “DRIVEN HEALTH ” Practice Location

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