Individual
ROSEMARIE MCCAHILL KORMANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNPPC-BC
Contact information
Practice address
10214 BRITTENFORD DR, VIENNA, VA 22182-1865
(703) 851-6771
(703) 665-4154
Mailing address
10214 BRITTENFORD DR, VIENNA, VA 22182-1865
(703) 851-6771
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024174928
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024174928
VIRGINIA COMMONWEALTH
VA
Enumeration date
06/12/2017
Last updated
11/23/2024
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