Quynh Tran-crockett, NP | |
44055 Riverside Pkwy # 20176, Leesburg, VA 20176-5179 | |
(703) 858-8600 | |
Not Available |
Full Name | Quynh Tran-crockett |
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Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 44055 Riverside Pkwy # 20176, Leesburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679298301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 0024185184 (Virginia) | Primary |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1275097123 PECOS PAC ID: 2466351093 Enrollment ID: O20211012000501 |
Mailing Address | Practice Location Address |
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Quynh Tran-crockett, NP 6371 Fenestra Ct, Burke, VA 22015-3543 Ph: () - | Quynh Tran-crockett, NP 44055 Riverside Pkwy # 20176, Leesburg, VA 20176-5179 Ph: (703) 858-8600 |
Farhan Shaukat, AG-ACNP Licensed Practical Nurse Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-8074 | |
Sherry Laycock, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-433-9230 Fax: 703-433-9248 |