Moira E Hanley-nieman Physician Assistant
20955 Professional Plz, Suite 200, Ashburn, VA 20147-3405


Moira E Hanley-nieman is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1629100185. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9739195371. The medical credential is PA. The primary specialty is PHYSICIAN ASSISTANT. The organization is LOUDOUN MEDICAL GROUP PC. The address is 20955 Professional Plz, Suite 200, Ashburn, VA 20147-3405. The zip code is 20147.


Moira E Hanley-nieman · 20955 Professional Plz, Suite 200, Ashburn, VA 20147-3405

Nation Provider ID 1629100185
PAC ID by PECOS 9739195371
Professional Enrollment ID I20120501000831
Last Name HANLEY-NIEMAN
First Name MOIRA
Middle Name E
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 1985
Primary Specialty PHYSICIAN ASSISTANT
Primary Specialty LOUDOUN MEDICAL GROUP PC
Phone Number 7037297652
Group Practice PAC ID 0042119661
Number of Group Practice Members 189
Address 20955 PROFESSIONAL PLZ
SUITE 200
ASHBURN, VA 201473405
Claims Based Hospital Affiliation Claim Control Number (CCN): 490043
Legal Business Name: INOVA LOUDOUN HOSPITAL
Professional accepts Medicare Assignment Y

subpremise: 200
street_number: 20955
route: Professional Plaza
locality, political: Ashburn
admin_level_3, political: Dulles
admin_level_2, political: Loudoun County
admin_level_1, political: Virginia (VA)
country, political: United States (US)
postal_code: 20147
types : subpremise
latitude: 39.037204
longitude: -77.5048353
latlng: (39.037204, -77.5048353)


Loudoun Medical Group PC · Medicare Physician

Name Address Specialty
Tamer Mansour 5249 Duke St, Alexandria, VA 22304-2907 OPHTHALMOLOGY
Donald Lee 20955 Professional Plz, Ashburn, VA 20147-3405 FAMILY PRACTICE
Younghae Hyun Park 20955 Professional Plz, Ashburn, VA 20147-3405 OBSTETRICS/GYNECOLOGY
Nathan Roberts 20955 Professional Plz, Ashburn, VA 20147-3405 UROLOGY
Nhu-nga Truong 20955 Professional Plz, Ashburn, VA 20147-3405 FAMILY PRACTICE
Scott Hopson 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICAL THERAPY
Olayemi Ikhile 20955 Professional Plz, Ashburn, VA 20147-3405 NURSE PRACTITIONER
Maria Canter 224 D Cornwall St Nw, Leesburg, VA 20176-2701 OBSTETRICS/GYNECOLOGY
Syed Ali 20955 Professional Plz, Ashburn, VA 20147-3405 HEMATOLOGY/ONCOLOGY
Jay Katzen 5249 Duke St, Alexandria, VA 22304-2907 OPHTHALMOLOGY
Irfan Idrees 44055 Riverside Pkwy, Leesburg, VA 20176-5176 INTERNAL MEDICINE
Judith Greco 224 D Cornwall St Nw, Leesburg, VA 20176-2700 INTERNAL MEDICINE
Mathew Gavin 44055 Riverside Pkwy, Leesburg, VA 20176-5176 ORTHOPEDIC SURGERY
Michael Mitchell 5249 Duke St, Alexandria, VA 22304-2907 INTERNAL MEDICINE
Stephanie Swanson 3301 Woodburn Rd, Annandale, VA 22003-7308 OBSTETRICS/GYNECOLOGY
Wendy Dotson 19465 Deerfield Ave, Leesburg, VA 20176-1703 CERTIFIED NURSE MIDWIFE
Courtney Raizman 5249 Duke St, Alexandria, VA 22304-2907 OTOLARYNGOLOGY
Lindsay Smith 19465 Deerfield Ave, Leesburg, VA 20176-1707 NURSE PRACTITIONER
Nidhi Gill 20955 Professional Plz, Ashburn, VA 20147-3405 INTERNAL MEDICINE
Timothy Mountcastle 20955 Professional Plz, Ashburn, VA 20147-3405 PLASTIC AND RECONSTRUCTIVE SURGERY

Zip 20147 · Physician Assistant · Medicare Physician

Name Address Specialty
Alicia Campbell 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICIAN ASSISTANT
Nicole Alvarez 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICIAN ASSISTANT
Michael Fraykor 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICIAN ASSISTANT
Kelly Boardman 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICIAN ASSISTANT

Zip 20147 · Medicare Physician

Name Address Specialty
Michelle Mcgregor 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICAL THERAPY
Renee Wickham 20098 Ashbrook Pl, Ashburn, VA 20147-3394 PHYSICAL THERAPY
Rahib Poonawala 20955 Professional Plz, Ashburn, VA 20147-3405 FAMILY PRACTICE
Anil Patel 20955 Professional Plz, Ashburn, VA 20147-3405 INTERNAL MEDICINE
Rhodaline Tootell 44095 Pipeline Plz, Ashburn, VA 20147-7518 FAMILY PRACTICE
Margaret Brandquist 20955 Professional Plz, Ashburn, VA 20147-3405 CERTIFIED NURSE MIDWIFE
Gebrewahid Woldu 43480 Yukon Dr, Ashburn, VA 20147-6988 FAMILY PRACTICE
Lisa Malloy 21785 Filigree Ct, Ashburn, VA 20147-6214 FAMILY PRACTICE
Sam Cheng 20717 Ashburn Valley Ct, Ashburn, VA 20147-4660 DIAGNOSTIC RADIOLOGY
Cristina Natalia Policarpio 43480 Yukon Dr, Ashburn, VA 20147-6988 FAMILY PRACTICE
Joel Cooley 44727 Brimfield Dr, Ashburn, VA 20147-5920 OPTOMETRY
Mrunalini Chakurkar 43480 Yukon Dr, Ashburn, VA 20147-6988 INTERNAL MEDICINE
Sandra Guilliano 20098 Ashbrook Pl, Ashburn, VA 20147-3394 PHYSICAL THERAPY
Cosette Nieporent 43480 Yukon Dr, Ashburn, VA 20147-6988 DIAGNOSTIC RADIOLOGY
Alicia Campbell 20955 Professional Plz, Ashburn, VA 20147-3405 PHYSICIAN ASSISTANT
Anchal Dureja 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 PODIATRY
Lynn David 43480 Yukon Dr, Ashburn, VA 20147-6988 DIAGNOSTIC RADIOLOGY
Myron Wasiuta 44727 Brimfield Dr, Ashburn, VA 20147-5920 OPTOMETRY
Mannul Ahmed 43480 Yukon Dr, Ashburn, VA 20147-6988 INTERNAL MEDICINE
Cindy Feely 44095 Pipeline Plz, Ashburn, VA 20147-7518 INTERNAL MEDICINE