Individual
MRS. FIONA VAN DE VELDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502-7356
(240) 362-7128
(240) 362-7129
Mailing address
PO BOX 9, FLINTSTONE, MD 21530-0009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R220083
MD
Other
Enumeration date
07/19/2020
Last updated
02/19/2022
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