Individual
IRINA M NIKITINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, ANP
Contact information
Practice address
2826 OLD LEE HWY STE 330, FAIRFAX, VA 22031-4347
(703) 587-1661
(703) 444-2697
Mailing address
2826 OLD LEE HWY STE 330, FAIRFAX, VA 22031-4347
(703) 587-1661
(703) 444-2697
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024167507
VA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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