Provider Demographics
NPI:1417208182
Name:INOVA DIABETES CENTER
Entity Type:Organization
Organization Name:INOVA DIABETES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE DIABETES EDUCATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAINIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN CDE
Authorized Official - Phone:703-698-2505
Mailing Address - Street 1:2700 PROSPERITY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4339
Mailing Address - Country:US
Mailing Address - Phone:703-698-2505
Mailing Address - Fax:703-698-2506
Practice Address - Street 1:2700 PROSPERITY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4339
Practice Address - Country:US
Practice Address - Phone:703-698-2505
Practice Address - Fax:703-698-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA813571282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital