Provider Demographics
NPI:1457625279
Name:ALSGAARD, JUNE L (FNP, APRN, RN, MSN)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:L
Last Name:ALSGAARD
Suffix:
Gender:F
Credentials:FNP, APRN, RN, MSN
Other - Prefix:
Other - First Name:JUN
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6632 HALLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-1825
Mailing Address - Country:US
Mailing Address - Phone:703-542-7131
Mailing Address - Fax:
Practice Address - Street 1:8200 GREENSBORO DR STE 900
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4931
Practice Address - Country:US
Practice Address - Phone:571-441-0233
Practice Address - Fax:571-441-0237
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001248601163W00000X
VA0024174852363LF0000X, 363LF0000X
ZZ07005435363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner