IndividualActive
Pepito Decena, LPN
NPI 1639787377 · Home Health Clinical Nurse Specialist · Herndon, VA
Provider details
- NPI number
- 1639787377
- Entity type
- Individual
- Primary specialty
- Home Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 0002093395 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13800 Coppermine Rd # 124-A
Herndon, VA 20171-6163
Phone: (571) 508-7144
Fax: (703) 935-0898
Approximate (ZIP-level) locationGet directions
Mailing address
910 W Redwood Rd
Sterling, VA 20164-5117
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.