Danette E Nicholes
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
2700 Prosperity Ave Ste 270
Fairfax
, Virginia 22031-4321
Danette E Nicholes
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
2700 Prosperity Ave Ste 270
Fairfax
, Virginia 22031-4321
(202) 745-8000
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Danette E Nicholes
- 50 Irving St Nw
- Washington, DC
- Zip : 20422
- Phone : (202) 745-8000
Second Address
- Danette E Nicholes
- 2700 Prosperity Ave Ste 270
- Fairfax, VA
- Zip : 22031-4321
- Fax : (703) 665-6878
- Phone : (703) 698-2431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024173894 | VA |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 002417389 | VA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 0024173894 | VA |
National Provider Identifier
| NPI | 1033666003 |
|---|---|
| Provider Name | Danette E Nicholes |
| First Address | Washington, DC 20422 |
| Second Address | Fairfax, VA 22031-4321 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2016 |
| Last Update Date | 21/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.