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NPI Code Detail

MEDICARE: GREENSPRING VILLAGE INC.

MEDICARE: GREENSPRING VILLAGE INC.
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
1163WD0400XDiabetes Educator Registered Nurse0001095944VA

General Provider Information

NPI Number : 1912180829
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENSPRING VILLAGE INC.
Provider Business Mailing Address
First Line : 7410 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4485
Country : US
Telephone Number : 703-923-3131
Fax Number : 703-923-4679
Provider Business Practice Location Address
First Line : 7410 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4485
Country : US
Telephone Number : 703-923-3131
Fax Number : 703-923-4679
Authorized Official
Title or Position : PROGRAM MANAGER
Name : MRS. TRICIA DAWN HAWKINS
Credential : RN CDE
Telephone Number : 703-923-3131
Provider Enumeration Date : 12/13/2007
Last Update Date : 04/01/2008

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