Individual
CRYSTAL ANN MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8640 SUDLEY RD, SUITE 201, MANASSAS, VA 20110-4420
(703) 368-6819
(703) 330-2923
Mailing address
8640 SUDLEY RD, STE 201, MANASSAS, VA 20110-4404
(703) 368-6819
(703) 330-2923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168953
VA
Other
Enumeration date
11/22/2010
Last updated
04/11/2016
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