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NPI Code Detail

MEDICARE: MRS. ELIZABETH SHEDLOSKY DOLAN FNP-C

MEDICARE: MRS. ELIZABETH SHEDLOSKY DOLAN 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 PractitionerRN1014872DC
2363LF0000XFamily Nurse Practitioner0024183743VA

General Provider Information

NPI Number : 1912366691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH SHEDLOSKY DOLAN FNP-C
Provider Business Mailing Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 888-803-3370
Fax Number : 888-803-3331
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 888-803-3370
Fax Number : 888-803-3331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 10/25/2023

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