| Mary June C So, | |
|
3300 Gallows Rd, Falls Church, VA 22042-3307 | |
| (703) 776-3650 | |
| Not Available |
| Full Name | Mary June C So |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3300 Gallows Rd, Falls Church, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609258946 | NPI | - | NPPES |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary June C So, 1307 Vincent Pl, Mc Lean, VA 22101-3680 Ph: () - | Mary June C So, 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-3650 |
Mrs. Cheryl Anne Fraser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4132 | |
Melissa Ann Mcclean, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 Telestar Ct, Falls Church, VA 22042 Phone: 703-396-6194 Fax: 703-779-1372 | |
Ms. Rebecca Timbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2960 Sleepy Hollow Rd, Falls Church, VA 22044 Phone: 703-531-6120 | |
Deborah M Hincewicz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-7512 Fax: 703-776-3700 | |
Kellyn Patricia Dodd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Arlington Blvd Suite 920, Falls Church, VA 22042 Phone: 703-241-2664 Fax: 703-241-5559 | |
Melissa Tremblay Eatherly, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Ms. Jami Stehlin, DNP, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 310-880-2609 |