| 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 |
|---|---|
| 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 | |
In Kyung Kim, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 Beverly Rd Ste 380, Mc Lean, VA 22101 Phone: 571-554-2691 | |
Elena Sophia Ifarraguerri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1749 Old Meadow Rd Ste 600, Mc Lean, VA 22102 Phone: 703-783-3300 Fax: 703-783-3300 | |
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 | |
Mrs. Natalie Austin Desseyn, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Old Chain Bridge Rd Ste 440, Mc Lean, VA 22101 Phone: 540-530-4325 Fax: 540-865-9013 | |
Corin Hohman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6845 Elm St Ste 600, Mc Lean, VA 22101 Phone: 703-748-9880 |