Individual
ABIGAIL VANDERWEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 ELDEN ST, HERNDON, VA 20170-3803
(703) 471-7000
Mailing address
13031 LEE JACKSON HWY, FAIRFAX, VA 22033-2050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177864
VA
Other
Enumeration date
08/07/2020
Last updated
08/12/2020
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