MEDICARE: DIONE L GEORGE FNP-BC, DNP

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
1	363LF0000X	Family Nurse Practitioner	0024188531	VA

General Provider Information

NPI Number	:	1316717218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIONE L GEORGE FNP-BC, DNP

Provider Business Mailing Address
First Line	:	152 EXECUTIVE CIR
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-7134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 EXECUTIVE CIR
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-7134
Country	:	US
Telephone Number	:	703-582-4841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

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