Healthcare Provider Details

I. General information

NPI: 1407325764
Provider Name (Legal Business Name): LOVE FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8318 ARLINGTON BLVD STE 300
FAIRFAX VA
22031-5218
US

IV. Provider business mailing address

6632 HALLWOOD AVE
FALLS CHURCH VA
22046-1825
US

V. Phone/Fax

Practice location:
  • Phone: 571-441-0233
  • Fax: 571-441-0237
Mailing address:
  • Phone: 703-542-7131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JUNE L ALSGAARD
Title or Position: CEO
Credential: DNP, FNP-BC
Phone: 703-542-7131