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Organization
NOVA FAMILY HEALTH PLLC
Active
Organization
NOVA FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELEINE WILSON HAO DNP (OWNER)
(703) 420-3267
Entity
Organization
Contact information
Practice address
11260 ROGER BACON DR STE 204, RESTON, VA 20190-5252
(703) 420-3276
(703) 420-3654
Mailing address
11260 ROGER BACON DR STE 204, RESTON, VA 20190-5252
(703) 420-3267
(703) 420-3654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
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
05/02/2024
Last updated
06/04/2024
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