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NPI Code Detail

MEDICARE: LARESA J MEADOWS FNP

MEDICARE: LARESA J MEADOWS 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
1363L00000XNurse Practitioner0024194121VA

General Provider Information

NPI Number : 1700732096
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARESA J MEADOWS FNP
Provider Business Mailing Address
First Line : 1100 N GLEBE RD STE 1600
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5798
Country : US
Telephone Number : 571-350-8400
Fax Number : 703-528-0338
Provider Business Practice Location Address
First Line : 1100 N GLEBE RD STE 1600
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5798
Country : US
Telephone Number : 571-350-8400
Fax Number : 703-528-0338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ LARESA J MEADOWS FNP” Practice Location

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