Individual
DR. NIKKI WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 KINGSTOWNE VILLAGE PKWY, SUITE 300, ALEXANDRIA, VA 22315-5880
(571) 384-6304
(571) 384-6309
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101239628
VA
Other
Enumeration date
07/26/2006
Last updated
07/24/2012
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