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Emily Dettbarn

Nurse Practitioner, Primary Care in Falls Church, VA. Individual provider (NPI-1).

NPI number1023969417
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1023969417
Entity type
Individual (NPI-1)
Name
Emily Dettbarn
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2026
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care0024198237VAYes

Practice location

6400 Arlington Blvd Ste 500
Falls Church, VA 22042-2325

Phone 703-533-5000 · Fax 703-533-0011

Mailing address

4439 Rosenwald Ln
Fairfax, VA 22030-5194

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Primary Care Nurse Practitioner providers in Falls Church, VA

All 7 Primary Care Nurse Practitioner providers in Falls Church · All 4,923 providers in Falls Church

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