Individual
NITNOY BADGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 110, FAIRFAX, VA 22033-1711
(703) 391-8804
Mailing address
3650 JOSEPH SIEWICK DR STE 110, FAIRFAX, VA 22033-1711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001115883
VA
363LF0000X
Family Nurse Practitioner
Primary
0024115883
VA
Other
Enumeration date
03/29/2007
Last updated
10/11/2016
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