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NPI Code Detail

MEDICARE: MRS. SUSANNE VILLENEUVE

MEDICARE: MRS. SUSANNE VILLENEUVE
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
1363LF0000XFamily Nurse PractitionerR048730MD

General Provider Information

NPI Number : 1497734164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSANNE VILLENEUVE
Provider Business Mailing Address
First Line : 9700 BROOKFORD RD
Second Line :
City : POTOMAC
State : MD
Zip : 20854-2132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 IRVING ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20422-0001
Country : US
Telephone Number : 202-745-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 08/10/2007

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Directions to “ MRS. SUSANNE VILLENEUVE ” Practice Location

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