Individual
MADELINE OSBURN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1420 BEVERLY RD STE 380, MC LEAN, VA 22101-3730
(571) 774-0965
Mailing address
15211 ELK RUN RD, CHANTILLY, VA 20151-1411
(703) 973-7598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184480
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073554713
NON-MEDICARE
VA
Enumeration date
06/16/2022
Last updated
06/16/2022
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