Organization
NORTHERN VIRGINIA CAMP HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTLE BROWN (BILLING MANAGER)
(410) 870-9380
Entity
Organization
Contact information
Practice address
6715 LITTLE RIVER TPKE STE 205, ANNANDALE, VA 22003-3546
(410) 870-9380
Mailing address
6715 LITTLE RIVER TPKE STE 205, ANNANDALE, VA 22003-3546
(410) 870-9380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
05/30/2024
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