Individual
PEACE O PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
42114 BARRYMOORE PL, CHANTILLY, VA 20152-6443
(571) 293-0766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024183724
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024183724
VA
Other
Enumeration date
02/16/2022
Last updated
07/25/2023
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