Whitney Hodges Shanley, | |
3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | |
(703) 391-2020 | |
(703) 391-1211 |
Full Name | Whitney Hodges Shanley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3650 Joseph Siewick Dr Ste 400, 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 |
---|---|---|---|
1477955946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024172044 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Inova Physician Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846 |
Mailing Address | Practice Location Address |
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Whitney Hodges Shanley, 11213 Lee Hwy, Fairfax, VA 22030-5698 Ph: () - | Whitney Hodges Shanley, 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 Ph: (703) 391-2020 |
Lindsey Stanton, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10530 Rosehaven St Ste 100, Fairfax, VA 22030 Phone: 703-938-0363 Fax: 703-938-8653 | |
Hala D Mata, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3053 Nutley St, Fairfax, VA 22031 Phone: 703-560-4852 | |
Calvin Layne Iii, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10304 Eaton Pl Ste 100, Fairfax, VA 22030 Phone: 571-463-8620 Fax: 571-999-7549 | |
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 | |
Natalia Castro, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12817 Hamlet Hill Way, Fairfax, VA 22030 Phone: 703-963-9033 | |
Erin Rudiak, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Route 29, Fairfax, VA 22031 Phone: 703-383-4836 | |
Josephine Pangan Bolivar-kerns, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9299 Tower Side Dr Apt 438, Fairfax, VA 22031 Phone: 414-939-6346 |