MEDICARE: CASEY L GERLINGER FNP-BC

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	0024190051	VA

General Provider Information

NPI Number	:	1720834088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY L GERLINGER FNP-BC

Provider Business Mailing Address
First Line	:	15246 ROSEMONT MANOR DR
Second Line	:
City	:	HAYMARKET
State	:	VA
Zip	:	20169-6247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16422 NAVIGATION DR
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-6502
Country	:	US
Telephone Number	:	571-297-1437
Fax Number	:

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

Provider Enumeration Date	:	04/27/2024
Last Update Date	:	04/27/2024

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