# RADER CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518958545
- **Authorized official:** STACY EVA USHER NP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (703) 696-3447

## Contact information

- **Practice address:** 401 CARPENTER RD, FORT MYER, VA 22211-1009
- **Practice address phone:** (703) 696-3447
- **Mailing address:** 401 CARPENTER RD, FORT MYER, VA 22211-1009
- **Mailing address phone:** (703) 696-3447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | 495950 | CA | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 05/14/2013