Provider Demographics
NPI:1104220813
Name:DANN, GIGI ELISABETH (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:GIGI
Middle Name:ELISABETH
Last Name:DANN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:GIGI
Other - Middle Name:ELISABETH
Other - Last Name:LECLEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:844-266-8268
Mailing Address - Fax:
Practice Address - Street 1:9430 FORESTWOOD LN STE 100
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4754
Practice Address - Country:US
Practice Address - Phone:703-365-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001162246163WL0100X
VA0024172102363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily