Provider Demographics
NPI:1902665979
Name:PARSONS, NANETTE W
Entity Type:Individual
Prefix:
First Name:NANETTE
Middle Name:W
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 MADISON TRADE PLZ SE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3780
Mailing Address - Country:US
Mailing Address - Phone:703-669-2727
Mailing Address - Fax:
Practice Address - Street 1:454 MADISON TRADE PLZ SE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3780
Practice Address - Country:US
Practice Address - Phone:703-669-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter