Provider Demographics
NPI:1619494663
Name:CURTIN, EILEEN VIRGINIA (APRN, AGPCNP)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:VIRGINIA
Last Name:CURTIN
Suffix:
Gender:F
Credentials:APRN, AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24419 MILLSTREAM DR
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-5837
Mailing Address - Country:US
Mailing Address - Phone:203-869-6950
Mailing Address - Fax:
Practice Address - Street 1:24419 MILLSTREAM DR
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-5837
Practice Address - Country:US
Practice Address - Phone:703-957-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176831363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology