Provider Demographics
NPI:1568884682
Name:TSAO, JULIE (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:TSAO
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:EUN IM
Other - Middle Name:
Other - Last Name:CHONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1043 STERLING RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3866
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1043 STERLING RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-3866
Practice Address - Country:US
Practice Address - Phone:703-689-0111
Practice Address - Fax:703-689-0077
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001217574163W00000X
VA0024171340363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse