Individual
MARY STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6100 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2901
(703) 776-4000
Mailing address
PO BOX 123, FAIRFAX, VA 22038-0123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001258837
VA
163W00000X
Registered Nurse
RN1038403
DC
Other
Enumeration date
12/05/2016
Last updated
05/23/2017
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