Mayweathers, Marlene
Mayweathers, Marlene is an individual health care provider with primary practice located at 224D Cornwall St Nw Ste 104 , Leesburg VA 20176-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mayweathers, Marlene can be contacted via phone (703) 779-0699.Contact Information
Primary practice address
224D Cornwall St Nw Ste 104
Leesburg VA 20176-2700
Phone: (703) 779-0699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024178936 | Virginia |
Profile Details
| NPI number | 1285268441 |
|---|---|
| LBN Legal business name | Mayweathers, Marlene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2020 |
| Last updated | Jan 26th, 2021 - about 5 years 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.
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