MEDICARE: DR. SHARON PATRICIA WINN MCKIERNAN M.D.

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	208000000X	Pediatrics Physician	0101058020	VA

General Provider Information

NPI Number	:	1356302392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON PATRICIA WINN MCKIERNAN M.D.

Provider Business Mailing Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:	571-623-0618
Fax Number	:

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	11/14/2023

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