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Organization
NORTHERN VIRGINIA CAMP HEALTH SERVICES LLC
Active
Organization
NORTHERN VIRGINIA CAMP HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTLE BROWN (BILLING MANAGER)
(410) 870-9380
Entity
Organization
Contact information
Practice address
6715 LITTLE RIVER TPKE STE 205, ANNANDALE, VA 22003-3546
(410) 870-9380
Mailing address
6715 LITTLE RIVER TPKE STE 205, ANNANDALE, VA 22003-3546
(410) 870-9380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
05/30/2024
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