Individual
MARY JOSEPH FRICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1800 TOWN CENTER DRIVE, SUITE 220, RESTON, VA 20190-3238
(703) 435-2555
(571) 926-8910
Mailing address
224-D CORNWALL ST., NW SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024121397
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053556175
—
VA
05
—
30015909410002
—
VA
Enumeration date
12/03/2008
Last updated
03/06/2024
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