PARAGON MEDPSYCHIATRY SERVFICES NPI 1790395176

NPI Information

NPI: 1790395176
Provider Name: PARAGON MEDPSYCHIATRY SERVFICES
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
9300 FOREST POINT CIR
MANASSAS, VA
ZIP 20110
Phone: (703) 493-1483
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PARAGON MEDPSYCHIATRY SERVFICES is a psychiatric/mental health nurse practitioner in Manassas, VA. PARAGON MEDPSYCHIATRY SERVFICES NPI is 1790395176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9300 FOREST POINT CIR
MANASSAS, VA
ZIP 20110-765
Phone: (703) 493-1483
Fax: (470) 201-6414

The provider's authorized official is Dana Mohl .
The authorized official title is Nurse Practitioner and has the following contact phone number (703) 463-8638.

The enumeration date for this NPI number is 7/31/2020 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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