Individual
NANCY MEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3111
(904) 346-0113
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
(888) 898-3294
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101243860
VA
207P00000X
Emergency Medicine Physician
Primary
CMD12097
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058742
MEDICARE
RI
01
—
1992750533
NPI
RI
05
—
1992750533
—
VA
05
—
7058742
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
05/23/2006
Last updated
10/24/2008
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