Healthcare Provider Details

I. General information

NPI: 1750705208
Provider Name (Legal Business Name): YULIA ESKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 LEE HWY STE 201
ARLINGTON VA
22207-1619
US

IV. Provider business mailing address

9609 LOCUST HILL DR
GREAT FALLS VA
22066-2018
US

V. Phone/Fax

Practice location:
  • Phone: 703-430-1411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024171173
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAC001355
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: