Individual
EMILY FADUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP FNP
Contact information
Practice address
10610 VICKERS DR, VIENNA, VA 22181-3029
(440) 364-6606
Mailing address
10610 VICKERS DR, VIENNA, VA 22181-3029
(440) 364-6606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187640
VA
363LF0000X
Family Nurse Practitioner
34621
OH
Other
Enumeration date
07/26/2023
Last updated
01/07/2025
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