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Individual

MRS. KELLY CHRISTINA ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
3801 UNIVERSITY DR, FAIRFAX, VA 22030-2503
(703) 383-8130
(703) 383-7350
Mailing address
3801 UNIVERSITY DR, FAIRFAX, VA 22030-2503
(703) 383-8130
(703) 383-7350

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000205462
TN
363LF0000X
Family Nurse Practitioner
Primary
0024180381
VA

Other

Enumeration date
01/09/2019
Last updated
04/16/2023
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