DANIEL EDGAR
NPI 1164378568
Nurse Practitioner - Family in Herndon, VA
Active since March 09, 2026
About Daniel Edgar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL EDGAR (NPI 1164378568) is an individual family provider in Herndon, Virginia, licensed in Virginia (0024196624) and active in the NPI registry since March 2026.
NPPES Registry Identity
NPI1164378568
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL EDGAR
Location Address12611 FRANKLIN FARM RDHerndon, VA 20171-1912
Mailing Address12611 Franklin Farm RdHerndon, VA 20171-1912
Phone(949) 842-3607
Sole ProprietorNo
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 7, 2026
✔ NPI 1164378568 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024196624
12611 FRANKLIN FARM RD, Herndon, VA 20171
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164378568, enumerated as an "individual" on March 09, 2026.
The provider is located at 12611 FRANKLIN FARM RD HERNDON, VA 20171 and the phone number is (949) 842-3607.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
