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NPI Code Detail

MEDICARE: MICHELLE PANOZO-NAULS PA-C

MEDICARE:   MICHELLE  PANOZO-NAULS  PA-C
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
1363A00000XPhysician Assistant0110011625VA

General Provider Information

NPI Number : 1962212548
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PANOZO-NAULS PA-C
Provider Business Mailing Address
First Line : 7655 LEESBURG PIKE
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22043-2595
Country : US
Telephone Number : 571-786-1492
Fax Number :
Provider Business Practice Location Address
First Line : 7655 LEESBURG PIKE
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22043-2595
Country : US
Telephone Number : 571-786-1492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 02/06/2026

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Directions to “ MICHELLE PANOZO-NAULS PA-C” Practice Location

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