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Individual

ANGELA LOUISE PLEMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 766-9737
(703) 766-9725
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN156865
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172313
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265839062
VA
Enumeration date
11/24/2014
Last updated
02/26/2026
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