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NPI Code Detail

MEDICARE: PEGGY JOHNSON-UHEGWU

MEDICARE: PEGGY JOHNSON-UHEGWU
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 Practitioner2021085139VA

General Provider Information

NPI Number : 1568100246
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY JOHNSON-UHEGWU
Provider Business Mailing Address
First Line : PO BOX 7432
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-0432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2200 N GEORGE MASON DR
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-8000
Country : US
Telephone Number : 703-777-3485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2022
Last Update Date : 05/23/2022

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Directions to “ PEGGY JOHNSON-UHEGWU ” Practice Location

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