ANGELICA FERNANDEZ DIZON


Address: 1145 19th St Nw Ste 410, Washington, DC 20036-3716
Phone: 2023311740

ANGELICA FERNANDEZ DIZON (NPI# 1023522638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023522638
Entity Type Individual
Full Name ANGELICA FERNANDEZ DIZON
Credential NP
Practice Address 1145 19th St Nw Ste 410
Washington
DC 20036-3716
Practice Telephone 2023311740
Practice Fax Number 2022969784
Mailing Telephone 2023311740
Enumeration Date 2017-11-20
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN1004381 DC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
407 N Washington St Ste 105, Falls Church, VA 220463436 7035339211 7035339401
5550 Friendship Blvd Ste 210, Chevy Chase, MD 208157201 3016545700 3017188330

Office Location

Street Address 1145 19TH ST NW STE 410
City WASHINGTON
State DC
Zip Code 20036-3716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104196005 Ashley Nicole Smith Obstetrics & Gynecology 1145 19th St Nw Ste 410, Washington, DC 20036 2012-01-09
1073974077 Michele Tabaie Nurse Practitioner 1145 19th St Nw Ste 410, Washington, DC 20036 2016-03-17
1508252974 Yodit Tefera Physical Medicine & Rehabilitation 1145 19th St Nw Ste 410, Washington, DC 20036-3716 2015-04-12
1861812174 Kelsey Renee Thrush Obstetrics & Gynecology 1145 19th St Nw Ste 410, Washington, DC 20036 2014-04-25

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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