Individual
PATRICIA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9306 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 330-3322
(703) 330-5051
Mailing address
2810 RIFLE RIDGE ROAD, OAKTON, VA 22124-1203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024168079
VA
Other
Enumeration date
12/04/2009
Last updated
03/25/2011
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