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DRYNACHAN LLC NPI 1891044657


NPI Information

NPI: 1891044657
Provider Name: DRYNACHAN LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
14121 PARKE LONG CT
SUITE 201
CHANTILLY, VA
ZIP 20151
Phone: (571) 449-3585
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DRYNACHAN LLC is a nurse practitioner in Chantilly, VA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DRYNACHAN LLC NPI is 1891044657. The provider is registered as an organization entity type.

The provider's business location address is:

14121 PARKE LONG CT
SUITE 201
CHANTILLY, VA
ZIP 20151-647
Phone: (571) 449-3585

The provider's authorized official is Brian J Wise .
The authorized official title is Ceo and has the following contact phone number (571) 449-2928.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 3/26/2018.


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
1251J00000XNursing CareNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003185092AMEDICAIDGEORGIA
21891044657MEDICAIDWASHINGTON
3300001898MEDICAIDINDIANA
418159900MEDICAIDFLORIDA
51891055657MEDICAIDILLINOIS
61991044657MEDICAIDVIRGINIA
7GP7738MEDICAIDSOUTH CAROLINA
8500040770MEDICAIDMISSOURI

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: 4/28/2024

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