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NPI Code Detail

MEDICARE: MRS. JONI GUNZBURGER FNP-C

MEDICARE: MRS. JONI GUNZBURGER FNP-C
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 Practitioner0024171184VA

General Provider Information

NPI Number : 1780019596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JONI GUNZBURGER FNP-C
Provider Business Mailing Address
First Line : 1800 WILSON BLVD
Second Line : APT 305
City : ARLINGTON
State : VA
Zip : 22201-6601
Country : US
Telephone Number : 614-202-8116
Fax Number :
Provider Business Practice Location Address
First Line : 415 E MONROE AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1624
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 09/11/2013

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