Mallory Giles, CPNP-PC | |
20955 Professional Plz Ste 200, Ashburn, VA 20147-3405 | |
(703) 729-7652 | |
(703) 729-8746 |
Full Name | Mallory Giles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 20955 Professional Plz Ste 200, Ashburn, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417623497 | NPI | - | NPPES |
1417623497 | Medicaid | VA | |
30016126720001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 0024182192 (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 |
---|---|
Mallory Giles, CPNP-PC 224-d Cornwall St., Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Mallory Giles, CPNP-PC 20955 Professional Plz Ste 200, Ashburn, VA 20147-3405 Ph: (703) 729-7652 |
Joy Vizi, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20098 Ashbrook Pl, Suite 190, Ashburn, VA 20147 Phone: 571-223-0410 | |
Kristen M Sutphin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21785 Filigree Ct Ste 100, Ashburn, VA 20147 Phone: 703-554-1100 | |
Angel Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20905 Professional Plz Ste 330, Ashburn, VA 20147 Phone: 703-726-0003 Fax: 703-726-6444 | |
Mrs. Amanda Feigenheimer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21170 Ashby Ponds Blvd, Ashburn, VA 20147 Phone: 571-291-6160 Fax: 571-291-6159 | |
Suzanne Marshalonis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43388 Whitehead Ter, Ashburn, VA 20148 Phone: 703-447-5537 | |
Jennifer Lynne Jenks, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21785 Filigree Court, Suite 201, Ashburn, VA 20147 Phone: 703-726-9930 Fax: 703-723-8283 | |
Meryl Kray, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41816 Fenway Cir, Ashburn, VA 20148 Phone: 347-761-7200 |