Doctor Name: | MRS. ANDREA MICHELE CORDELL PROPER |
NPI Number: | 1134545825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4460 Brookfield Corporate Dr Ste J Chantilly, VA - 201511671 |
Business Phone Number: | 5719210771 |
Business Fax Number: | |
Mailing Address: | 15211 Philip Lee Rd, CHANTILLY |
State: | VA |
Postal Code: | 201511308 |
Phone Number: | 5719210771 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |