Rong Fan, FNP | |
1680 Capital One Dr # C2, Mc Lean, VA 22102-3407 | |
(703) 720-1290 | |
(703) 720-1291 |
Full Name | Rong Fan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1680 Capital One Dr # C2, Mc Lean, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932836764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001285315 (Virginia) | Secondary |
363L00000X | Nurse Practitioner | 0024184817 (Virginia) | Primary |
Entity Name | Inova Ucc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221123001904 |
Mailing Address | Practice Location Address |
---|---|
Rong Fan, FNP 1680 Capital One Dr # C2, Mc Lean, VA 22102-3407 Ph: (703) 720-1290 | Rong Fan, FNP 1680 Capital One Dr # C2, Mc Lean, VA 22102-3407 Ph: (703) 720-1290 |
Kathleen Judge Bowie, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8200 Jones Branch Dr Rm 1317, Mc Lean, VA 22102 Phone: 703-903-2844 | |
Mrs. Cynthia Ann Leaver, PHD, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6442 | |
Aeden Ghebreselassie, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1680 Capital One Dr, Mc Lean, VA 22102 Phone: 703-720-1290 Fax: 703-720-1291 | |
Corin Hohman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6845 Elm St Ste 600, Mc Lean, VA 22101 Phone: 703-748-9880 | |
Danielle Gibbens, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102 Phone: 703-738-4342 | |
Ingrid M Silva Wilson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1861 International Dr Ste 600, Mc Lean, VA 22102 Phone: 855-851-8354 | |
Hang Phan Nguyen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102 Phone: 703-287-6400 |