Provider Demographics
NPI:1407325764
Name:LOVE FAMILY PRACTICE
Entity Type:Organization
Organization Name:LOVE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, NP-C
Authorized Official - Phone:703-542-7131
Mailing Address - Street 1:6632 HALLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-1825
Mailing Address - Country:US
Mailing Address - Phone:703-542-7131
Mailing Address - Fax:
Practice Address - Street 1:8200 GREENSBORO DR STE 900
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4931
Practice Address - Country:US
Practice Address - Phone:571-441-0233
Practice Address - Fax:571-441-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty