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MIRANDA NICOLE BACON DO NPI 1366066169


NPI Information

NPI: 1366066169
Provider Name: MIRANDA NICOLE BACON, DO
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3300 GALLOWS RD
FALLS CHURCH, VA
ZIP 22042
Phone: (703) 776-6652
Get Directions

Miranda Nicole Bacon, DO is a pediatrics in Falls Church, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Miranda Nicole Bacon, DO NPI is 1366066169. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 GALLOWS RD
FALLS CHURCH, VA
ZIP 22042-307
Phone: (703) 776-6652

The enumeration date for this NPI number is 6/8/2020 and was last updated on 6/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0116033753VIRGINIAYes

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

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