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NPI Code Detail

MEDICARE: MS. MARIANNE E VAIL PA

MEDICARE: MS. MARIANNE E VAIL PA
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
1363A00000XPhysician Assistant1174MA
2363A00000XPhysician Assistant0110004232DC

General Provider Information

NPI Number : 1609813930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIANNE E VAIL PA
Provider Business Mailing Address
First Line : 401 13TH ST NE APT 305
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-6316
Country : US
Telephone Number : 978-726-1206
Fax Number :
Provider Business Practice Location Address
First Line : 228 7TH ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-4306
Country : US
Telephone Number : 202-698-0795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 01/16/2020

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Directions to “ MS. MARIANNE E VAIL PA” Practice Location

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