Woon Go, NP | |
24430 Stone Springs Blvd Suite 135, Dulles, VA 20166-2269 | |
(703) 957-1255 | |
Not Available |
Full Name | Woon Go |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 24430 Stone Springs Blvd Suite 135, Dulles, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053177436 | NPI | - | NPPES |
1053177436 | Medicaid | VA | |
30017800120001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024189057 (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 |
---|---|
Woon Go, NP 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Woon Go, NP 24430 Stone Springs Blvd Suite 135, Dulles, VA 20166-2269 Ph: (703) 957-1255 |
Danah Jagueta Balmaceda, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-439-4000 | |
Mrs. Annette Dorothy Blakeslee, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Vienna Pl, Dulles, VA 20189 Phone: 431-320-0367 Fax: 131-339-2915 | |
Chandler Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24440 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-349-4000 | |
Andrew Roessler Martin, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd., Suite 100, Dulles, VA 20166 Phone: 703-437-3850 Fax: 703-437-7888 | |
Christina L Denton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166 Phone: 703-766-5040 | |
Haena Bryant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24430 Stone Springs Blvd Unit 425, Dulles, VA 20166 Phone: 703-722-5860 |