Basic Information
Provider Information
NPI: 1033497904
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PREZIOSI
FirstName: MEREDITH
MiddleName: FOLEY
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4737 11TH ST N
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222052515
CountryCode: US
TelephoneNumber: 5083802704
FaxNumber:  
Practice Location
Address1: 3800 RESERVOIR RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200072113
CountryCode: US
TelephoneNumber: 2024442000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/26/2011
LastUpdateDate: 07/26/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN1009085DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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