Doctor Name: | MS. RENE LYNN ERNEST |
NPI Number: | 1013071018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, ANP |
License Number: | 0024166600 |
Business Practice Address: | 3600 Joseph Siewick Dr Fairfax, VA - 220331709 |
Business Phone Number: | 7033913558 |
Business Fax Number: | 7033913441 |
Mailing Address: | 10119 Lomond Dr, MANASSAS |
State: | VA |
Postal Code: | 201093110 |
Phone Number: | 7033914151 |
Fax Number: | 7033913441 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0024166600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |