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NPI Code Detail

MEDICARE: MRS. NAM KYUNG SENERCHIA

MEDICARE: MRS. NAM KYUNG SENERCHIA
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
1363L00000XNurse Practitioner0024189308VA

General Provider Information

NPI Number : 1497516629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAM KYUNG SENERCHIA
Provider Business Mailing Address
First Line : 2901 TELESTAR CT STE 300
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-1263
Country : US
Telephone Number : 703-591-1688
Fax Number : 703-591-1445
Provider Business Practice Location Address
First Line : 11800 SUNRISE VALLEY DR STE 500
Second Line :
City : RESTON
State : VA
Zip : 20191-5303
Country : US
Telephone Number : 703-437-5977
Fax Number : 703-478-2475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 06/18/2024

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Directions to “ MRS. NAM KYUNG SENERCHIA ” Practice Location

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