Flores, Penelynne Tan
Flores, Penelynne Tan is an sole proprietor health care provider with primary practice located at 44320 Premier Plaza Ste 110, Ashburn VA 20147-5077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Flores, Penelynne Tan can be contacted via phone (703) 723-8727.Contact Information
Primary practice address
44320 Premier Plaza Ste 110
Ashburn VA 20147-5077
Phone: (703) 723-8727
Fax: (703) 723-9787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 24164883 | Virginia |
Profile Details
| NPI number | 1477502110 |
|---|---|
| LBN Legal business name | Flores, Penelynne Tan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | May 15th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477502110 | NPPES |
| Virginia | MEDICAID | 7790732 |
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