DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUDITH ANNE DERRICO CRNP

MEDICARE:   JUDITH ANNE DERRICO  CRNP
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
1363LA2200XAdult Health Nurse Practitioner0024092254VA

General Provider Information

NPI Number : 1386639144
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH ANNE DERRICO CRNP
Provider Business Mailing Address
First Line : 46440 BENEDICT DR
Second Line : STE 208
City : STERLING
State : VA
Zip : 20164-6602
Country : US
Telephone Number : 703-444-3660
Fax Number : 703-444-3569
Provider Business Practice Location Address
First Line : 46440 BENEDICT DR
Second Line : STE 208
City : STERLING
State : VA
Zip : 20164-6602
Country : US
Telephone Number : 703-444-3660
Fax Number : 703-444-3569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1184626343 — LORI R ANDREW M.D.
Practice Location Address:
46440 BENEDICT DR , STE 207
STERLING, VA
20164-6602
Practice Phone: 703-444-2100
Practice Fax: 703-444-0386
1831194117 — SUZANNE OBRIEN CFNP
Practice Location Address:
46440 BENEDICT DR , STE 207
STERLING, VA
20164-6602
Practice Phone: 703-444-2100
Practice Fax: 703-444-0386
1386649663 — JAN W CANTRELL CPNP
Practice Location Address:
46440 BENEDICT DR , STE 207
STERLING, VA
20164-6602
Practice Phone: 703-444-2100
Practice Fax: 703-444-0386
1396740676 — KIMBERLY S KOLB DO
Practice Location Address:
46440 BENEDICT DR , STE 207
STERLING, VA
20164-6602
Practice Phone: 703-444-2100
Practice Fax: 703-444-0386
1710982640 — CLEN DAMON MOORE MD
Practice Location Address:
46440 BENEDICT DR , STE 207
STERLING, VA
20164-6602
Practice Phone: 703-444-2100
Practice Fax: 703-444-0386
1891789459 — RALPH ALBERT LEON MD
Practice Location Address:
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA
20164-6602
Practice Phone: 703-450-1125
Practice Fax: 703-450-1145

Directions to “ JUDITH ANNE DERRICO CRNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.