# DRYNACHAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891044657
- **Authorized official:** MR. BRIAN J WISE (CEO)
- **Authorized official phone:** (571) 449-2928

## Contact information

- **Practice address:** 14121 PARKE LONG CT, SUITE 201, CHANTILLY, VA 20151-1647
- **Practice address phone:** (571) 449-3585
- **Mailing address:** 14121 PARKE LONG CT, SUITE 201, CHANTILLY, VA 20151-1647
- **Mailing address phone:** (571) 449-3585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 03/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003185092A | — | GA |
| 05 | — | 18159900 | — | FL |
| 05 | — | 1891044657 | — | WA |
| 05 | — | 1891055657 | — | IL |
| 05 | — | 1991044657 | — | VA |
| 05 | — | 300001898 | — | IN |
| 05 | — | 500040770 | — | MO |
| 05 | — | GP7738 | — | SC |