Individual
MRS. MICHELLE L PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-6545
(703) 776-4323
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174284
VA
363LP0200X
Pediatric Nurse Practitioner
R165228
MD
Other
Enumeration date
01/13/2009
Last updated
06/30/2021
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