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Individual

PAMELA A CRIPPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2921 TELESTAR CT, SUITE 140, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 280-2654
Mailing address
2921 TELESTAR CT, SUITE 140, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 280-2654

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024085478
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010148545
VA
05
407359200
MD
Enumeration date
03/17/2006
Last updated
02/16/2010
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