Provider Demographics
NPI:1851359996
Name:VERNAIL, ANNETTE MARIE (NP)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:MARIE
Last Name:VERNAIL
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:8081 INNOVATION PARK DR # 700
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4867
Mailing Address - Country:US
Mailing Address - Phone:571-472-2957
Mailing Address - Fax:571-472-2903
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-4001
Practice Address - Fax:703-776-7113
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2022-01-14
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Provider Licenses
StateLicense IDTaxonomies
VA0024165001363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1851359996Medicaid
VAQ66567Medicare UPIN
VAVVG130AMedicare PIN
DC183194ZC3UMedicare PIN
VAVVG130AMedicare PIN