Individual
HANNAH LARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14535 JOHN MARSHALL HWY STE 201, GAINESVILLE, VA 20155-4024
(703) 753-6184
Mailing address
4228 PENNSBORO CT, CHANTILLY, VA 20151-2726
(703) 927-6389
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024194081
VA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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