| Evenbeam Neuropalliative Care, Llc | |
|
7112 Braddock Rd Annandale VA 22003 | |
| (540) 924-3258 | |
| (856) 249-9592 |
| Full Name | Evenbeam Neuropalliative Care, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7112 Braddock Rd, Annandale, Virginia |
| Authorized Official Name and Position | Farrah Daly (MANAGING MEMBER) |
| Authorized Official Contact | 5409243258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evenbeam Neuropalliative Care, Llc 673 Potomac Station Dr Ne # 605 Leesburg VA 20176-1819 Ph: (540) 924-3258 | Evenbeam Neuropalliative Care, Llc 7112 Braddock Rd Annandale VA 22003 Ph: (540) 924-3258 |
| NPI Number | 1023688827 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 7618375817 |
|---|---|
| Medicare Enrollment ID | O20211001000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023688827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084H0002X | Psychiatry & Neurology - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Farrah Nicole Daly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831219393 PECOS PAC ID: 9931296100 Enrollment ID: I20071105000266 |
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