Eunji Lee, FNP-C | |
200 North Maple Avenue, Purcellville, VA 20132-6100 | |
(540) 338-0032 | |
Not Available |
Full Name | Eunji Lee |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 North Maple Avenue, Purcellville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730945866 | NPI | - | NPPES |
1730945866 | Medicaid | VA | |
30017812900001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024188029 (Virginia) | Primary |
Entity Name | Loudoun Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
Mailing Address | Practice Location Address |
---|---|
Eunji Lee, FNP-C 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Eunji Lee, FNP-C 200 North Maple Avenue, Purcellville, VA 20132-6100 Ph: (540) 338-0032 |
Maria Michelle Soriano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466 | |
Rochelle Maguire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 East Hirst Road, Suite 302, Purcellville, VA 20132 Phone: 540-338-7065 Fax: 540-338-9482 | |
Zorodzai Gutu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Maple Ave, Purcellville, VA 20132 Phone: 540-338-0032 Fax: 540-338-0176 | |
Amanda Marie Sallberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 North Maple Avenue, Purcellville, VA 20132 Phone: 540-338-0177 | |
Mark Richard Rugarber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466 | |
Mrs. Kelsey R Alford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hirst Rd, Purcellville, VA 20132 Phone: 703-226-2290 Fax: 703-289-1420 | |
Amberleigh Ruth Winn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 Phone: 540-338-9896 Fax: 540-338-8235 |