MS. ELIZABETH FATU MCLEAN


Address: 52 W Shirley Ave, Warrenton, VA 20186-3008
Phone: 5403479220

MS. ELIZABETH FATU MCLEAN (NPI# 1578792172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578792172
Entity Type Individual
Full Name MS. ELIZABETH FATU MCLEAN
Other Name ELIZABETH FATU GABRIELLE
Credential PAC
Practice Address 52 W Shirley Ave
Warrenton
VA 20186-3008
Practice Telephone 5403479220
Practice Fax Number 5403470492
Mailing Telephone 5403479220
Mailing Fax Number 5403470492
Enumeration Date 2009-07-06
Last Update Date 2011-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0110003032 VA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 52 W SHIRLEY AVE
City WARRENTON
State VA
Zip Code 20186-3008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063401917 Jacqueline Grace Morris Physical Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2005-10-13
1275171282 Samantha Adornetto Physical Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2019-12-20
1255877486 Whitney Pearson Physical Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2017-01-11
1225570567 Megann E Grimes Massage Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2016-11-16
1366801680 Nicholas Gallo Physical Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2016-02-15
1053789339 Lauren Chapman Massage Therapist 52 W Shirley Ave, Bld. B- Physical Therapy, Warrenton, VA 20186-3008 2015-09-03
1760850028 Andrew Carter Physical Therapist 52 W Shirley Ave, Bld. B- Physical Therapy, Warrenton, VA 20186-3008 2015-09-03
1083080014 Lillie Lauterbach Massage Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2015-08-13
1396139689 Rachel Reilly Physical Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2015-03-24
1932511086 Tracie Conner Massage Therapist 52 W Shirley Ave, Warrenton, VA 20186-3008 2014-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639708704 Melissa A. Griffith Crooks Social Worker In Luck Counseling, LLC, 92 Main Street, Warrenton, VA 20186 2020-04-02
1255757506 Wecare Pharmacy LLC Pharmacy 516 Fletcher Dr, Warrenton, VA 20186 2014-03-11
1497031975 Blue Ridge Orthopaedic Associates, PC Physician Assistant 52 W. Shirley Ave., Warrenton, VA 20186 2011-10-27
1215213939 Bassim Mousa Pharmacist 276 Lee Hwy, Warrenton, VA 20186 2011-10-26
1770868721 Denise Leanne Glasser Pharmacist 276 West Lee Highway, Warrenton, VA 20186 2011-10-20
1003117607 Elizabeth A Lowell Pharmacist 189 Old Lee Hwy, Warrenton, VA 20186 2010-11-12
1396045688 Suong Thu Nguyen Pharmacist 189 Lee Hwy, Warrenton, VA 20186 2010-11-02
1174830921 Natalia Lueck Counselor 28 Ashby St Suite G101, Warrenton, VA 20186 2010-08-31
1568604742 Harris Teeter, LLC Pharmacy 530 Fletcher Dr., Warrenton, VA 20186 2009-04-02
1396998480 Act Family Program Community/Behavioral Health 39 Garrett Street, Suite 109, Warrenton, VA 20186 2008-11-03
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245480318 Audrey Ludwig Bunch Physician Assistant 28 Blackwell Park Ln, Suite 302, Warrenton, VA 20186-2685 2008-09-25

Providers in the same taxonomy and state

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1861059461 Daniel P Sherman Physician Assistant 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 2019-05-20
1184289753 Vicenta Hanh-phuoc Tran Physician Assistant 7611 Trammell Rd, Annandale, VA 22003-1442 2019-05-08
1649833021 Karlie Diruzza Physician Assistant 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 2019-04-21
1164983599 Bradley Pretzer Physician Assistant 5115 Cliffhaven Dr, Annandale, VA 22003-4348 2019-03-28
1346757416 Hinda Yasmin Mezaache Physician Assistant 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 2018-01-10
1265974851 Gerard Surgical Services, LLC Physician Assistant 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 2016-11-14
1417301607 Jose Gustavo Espino Physician Assistant 6866 Deer Run Dr, Alexandria, VA 22306-1124 2016-04-14
1477915098 Kelly Egan Weaver Physician Assistant 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 2016-03-23
1871976522 Hall Surgical Assistance, LLC Physician Assistant 10332 Main St, Suite #344, Fairfax, VA 22030-2410 2015-06-30
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Competitor

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City WARRENTON
Zip Code 20186

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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