Individual
KATARINA MARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1860 TOWN CENTER DRIVE, SUITE 225, RESTON, VA 20190-5905
(703) 293-5239
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186834
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275237042
—
VA
05
—
30017661520001
—
VA
Enumeration date
03/28/2023
Last updated
09/09/2024
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