Provider Demographics
NPI:1598186504
Name:DREMLUK, ANNE HEYER (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:HEYER
Last Name:DREMLUK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:LYNN
Other - Last Name:HEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1731 POTOMAC GREENS DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12255 FAIR LAKES PARKWAY
Practice Address - Street 2:KIASER PALMENTE
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033
Practice Address - Country:US
Practice Address - Phone:703-359-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001067486163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice