Provider Demographics
NPI:1558641050
Name:FREEMAN, GAIL J (WHNP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:J
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3299 WOODBURN RD STE 480
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-7333
Mailing Address - Country:US
Mailing Address - Phone:703-876-0734
Mailing Address - Fax:703-876-4980
Practice Address - Street 1:3299 WOODBURN RD
Practice Address - Street 2:SUITE 480
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1275
Practice Address - Country:US
Practice Address - Phone:703-876-0734
Practice Address - Fax:703-876-4980
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024087723363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology