Individual
COREY LYNN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
44084 RIVERSIDE PKWY, LEESBURG, VA 20176-8279
(703) 724-7530
Mailing address
12383 COPENHAGEN CT, RESTON, VA 20191-2509
(727) 385-3756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178457
VA
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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