Individual
CAROLYN MARS ANGIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
12950 HIGHLAND CROSSING DRIVE, STE. H, HERNDON, VA 20171
(703) 860-4200
(703) 860-1528
Mailing address
12950 HIGHLAND CROSSING DRIVE, STE. H, HERNDON, VA 20171
(703) 860-4200
(703) 860-1528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017001234
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007788452
—
VA
Enumeration date
03/28/2006
Last updated
03/04/2020
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