MS. PENELYNNE TAN FLORES (NPI# 1477502110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477502110 |
| Entity Type | Individual |
| Full Name | MS. PENELYNNE TAN FLORES |
| Credential | FNP |
| Practice Address |
44320 Premier Plaza Ste 110 Ashburn VA 20147-5077 |
| Practice Telephone | 7037238727 |
| Practice Fax Number | 7037239787 |
| Mailing Telephone | 7037238727 |
| Mailing Fax Number | 7037239787 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24164883 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7790732 | 05 |
| Street Address |
44320 PREMIER PLAZA STE 110 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-5077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052184 | James J Lee | Otolaryngology | 44320 Premier Plaza, Suite 110, Ashburn, VA 20147-5076 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1063064772 | Dana Jones-sheppard | Nurse Practitioner | 44121 Harry Byrd Hwy Ste 285, Ashburn, VA 20147-5673 | 2019-07-12 |
| 1497238877 | Cynthia Lynn Cleghorn | Nurse Practitioner | 2837 Son Story Rd, Ashburn, GA 31714-2285 | 2018-09-11 |
| 1770079857 | Margaret Ann Markie | Nurse Practitioner | 44121 Harry Byrd Hwy Ste 210, Ashburn, VA 20147-5667 | 2018-07-02 |
| 1083101489 | Nicole Connelly | Nurse Practitioner | 44095 Pipeline Plz Ste 410, Ashburn, VA 20147-7518 | 2018-04-20 |
| 1396260162 | Lindsay Beall | Nurse Practitioner | 21092 Lost Moccasin Ter, Ashburn, VA 20147-3221 | 2017-08-13 |
| 1437697075 | Rachel Sparks | Nurse Practitioner | 20905 Professional Plz Ste 330, Ashburn, VA 20147-3409 | 2017-02-02 |
| 1962851352 | Keri Lynn Altman | Nurse Practitioner | 705 Hudson Ave, Ashburn, GA 31714-5312 | 2016-06-07 |
| 1538348487 | Stephanie I. Beske | Nurse Practitioner | 41968 Pleasant Forest Ct, Ashburn, VA 20148-7349 | 2007-10-29 |
| 1316922206 | Susan Rachel Ethridge | Nurse Practitioner | 235 E Washington Ave, Ashburn, GA 31714-5224 | 2005-12-13 |
| Find all providers in ASHBURN | ||||
Please comment or provide details below to improve the information on MS. PENELYNNE TAN FLORES.
| 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.