Individual
FAWN WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP- BC
Contact information
Practice address
14805 FOREST RD STE 107A, FOREST, VA 24551-3997
(434) 260-3380
(434) 302-9638
Mailing address
14805 FOREST RD STE 107A, FOREST, VA 24551-3997
(434) 260-3380
(434) 302-9638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172310
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024172310
VA
Other
Enumeration date
03/04/2015
Last updated
03/11/2023
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