Individual
ANGELIC MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2978 CENTREVILLE RD, HERNDON, VA 20171-6253
(703) 934-5000
Mailing address
14 WORTHINGTON CT, STERLING, VA 20165-6014
(210) 416-1553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189716
VA
363LP2300X
Primary Care Nurse Practitioner
0024189716
VA
Other
Enumeration date
03/19/2025
Last updated
05/08/2025
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