Individual
IRINA GRANDJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
14900 POTOMAC TOWN PL STE 110, WOODBRIDGE, VA 22191-4095
(540) 351-0662
Mailing address
14900 POTOMAC TOWN PL STE 110, WOODBRIDGE, VA 22191-4095
(540) 351-0662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179569
VA
363LF0000X
Family Nurse Practitioner
95017321
CA
Other
Enumeration date
12/10/2020
Last updated
10/20/2023
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