Individual
MRS. CARMEN N DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-7880
(703) 504-7834
Mailing address
4229 SAN CARLOS DR, FAIRFAX, VA 22030-5346
(703) 504-7880
(703) 504-7834
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024166411
VA
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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