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NPI Code Detail

MEDICARE: MS. MICHELLE M EYNON NP

MEDICARE: MS. MICHELLE M EYNON NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024167705VA
2363LW0102XWomen's Health Nurse Practitioner0024167705VA
3363L00000XNurse Practitioner0024167705VA

General Provider Information

NPI Number : 1427294552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE M EYNON NP
Provider Business Mailing Address
First Line : 1101 WILSON BLVD FL 6
Second Line :
City : ARLINGTON
State : VA
Zip : 22209-2281
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1101 WILSON BLVD FL 6
Second Line :
City : ARLINGTON
State : VA
Zip : 22209-2281
Country : US
Telephone Number : 888-731-8994
Fax Number : 833-775-1861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2008
Last Update Date : 05/17/2024

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