Individual provider · Type 1 NPI

Danette E. Nicholes, AGNP

Nurse Practitioner · Fairfax, VA

NPI number 1033666003 Active

Practice location

2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321

Fax (703) 665-6878

Mailing address

50 Irving St NW
Washington, DC 20422

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X0024173894 (VA)
Nurse Practitioner Primary 363L00000X0024173894 (VA)
Adult Health Nurse Practitioner 363LA2200X002417389 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033666003

Danette E. Nicholes, AGNP's National Provider Identifier is 1033666003, issued on Sep 7, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 27, 2023.