Healthcare Provider Details

I. General information

NPI: 1245168095
Provider Name (Legal Business Name): EMILIE DUKE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44927 GEORGE WASHINGTON BLVD STE 250
ASHBURN VA
20147-4294
US

IV. Provider business mailing address

44927 GEORGE WASHINGTON BLVD STE 250
ASHBURN VA
20147-4294
US

V. Phone/Fax

Practice location:
  • Phone: 571-420-0035
  • Fax:
Mailing address:
  • Phone: 571-420-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: