MEDICARE: ALICE GREENBAUM COAKLEY FNP

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	363LF0000X	Family Nurse Practitioner	0001165665	VA

General Provider Information

NPI Number	:	1518965417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE GREENBAUM COAKLEY FNP

Provider Business Mailing Address
First Line	:	3804 EXECUTIVE AVE
Second Line	:	D - 1
City	:	ALEXANDRIA
State	:	VA
Zip	:	22305-2118
Country	:	US
Telephone Number	:	703-519-1725
Fax Number	:	703-519-1738

Provider Business Practice Location Address
First Line	:	3804 EXECUTIVE AVE
Second Line	:	D - 1
City	:	ALEXANDRIA
State	:	VA
Zip	:	22305-2118
Country	:	US
Telephone Number	:	703-519-1725
Fax Number	:	703-519-1738

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396723946 — MICHELLE EVANSON FNP
Practice Location Address:

3804 EXECUTIVE AVE , APT D-1
ALEXANDRIA, VA
22305-2118

Practice Phone: 703-519-1725
Practice Fax: 703-519-1738

1073591632 — LINDA T WALTERS NP
Practice Location Address:

3804 EXECUTIVE AVE , APT D-1
ALEXANDRIA, VA
22305-2118

Practice Phone: 703-519-1725
Practice Fax: 703-519-1738

1316925977 — MARTHA WELMAN MD
Practice Location Address:

3804 EXECUTIVE AVE , APT D-1
ALEXANDRIA, VA
22305-2118

Practice Phone: 703-519-1725
Practice Fax: 703-519-1738

1831184159 — DR. JEROME STEIN MD
Practice Location Address:

2 E GLEBE RD
ALEXANDRIA, VA
22305-2938

Practice Phone: 703-535-5568
Practice Fax: 703-535-1583

1356329916 — PILAR G TAM MD
Practice Location Address:

2 E GLEBE RD
ALEXANDRIA, VA
22305-2938

Practice Phone: 703-535-5568
Practice Fax: 703-299-1794

1962480517 — ROGER C CHINERY MD
Practice Location Address:

2 E GLEBE RD
ALEXANDRIA, VA
22305-2938

Practice Phone: 703-535-5568
Practice Fax: 703-535-1583

Directions to “ ALICE GREENBAUM COAKLEY FNP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.