Crystal Lee, | |
10560 Main St Ste 310, Fairfax, VA 22030-7175 | |
(856) 313-2521 | |
Not Available |
Full Name | Crystal Lee |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 10560 Main St Ste 310, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801404744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AG07200019 (Virginia) | Primary |
Entity Name | Commonwealth Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20040710000183 |
Mailing Address | Practice Location Address |
---|---|
Crystal Lee, 24672 Pantzlaff Farm Ter, Sterling, VA 20166-2751 Ph: (856) 313-2521 | Crystal Lee, 10560 Main St Ste 310, Fairfax, VA 22030-7175 Ph: (856) 313-2521 |
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Jenni Jeanette Lorene Barnhizer, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033 Phone: 703-620-3211 Fax: 703-620-3215 | |
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