Healthcare Provider Details
I. General information
NPI: 1861113730
Provider Name (Legal Business Name): ERIN MARIE DUNSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/08/2022
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
46440 BENEDICT DR STE 108
STERLING VA
20164-6602
US
IV. Provider business mailing address
1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US
V. Phone/Fax
- Phone: 703-444-5656
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0024183332 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024183332 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: