Individual
HARTLEY WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-7805
Mailing address
9107 JOHN WAY, FAIRFAX STATION, VA 22039-3043
(631) 834-7955
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
0024182029
VA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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