MEDICARE: MRS. NADYA CARRIGER NP

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	163W00000X	Registered Nurse	0001192987	VA
2	363LP2300X	Primary Care Nurse Practitioner	0017140181	VA
3	363LA2200X	Adult Health Nurse Practitioner	0017140181	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1819974538	OTHER		NPI
2	1819974538	OTHER	VA	NPI

General Provider Information

NPI Number	:	1811974538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NADYA CARRIGER NP

Provider Business Mailing Address
First Line	:	44121 HARRY BYRD HWY STE 225
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-5672
Country	:	US
Telephone Number	:	703-237-7900
Fax Number	:	703-237-0821

Provider Business Practice Location Address
First Line	:	6045 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2721
Country	:	US
Telephone Number	:	703-237-7900
Fax Number	:	703-237-0821

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	05/08/2018

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