Individual
ALYSSA AMBER REVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
9531 CHARLESFIELD DR, FREDERICKSBURG, VA 22407-8376
(540) 845-8358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024181228
VA
Other
Enumeration date
04/05/2021
Last updated
04/06/2021
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