Individual
KATHI LYNN CHIZZONITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3020 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031-2238
(703) 573-2432
Mailing address
4815 BENTONBROOK DR, FAIRFAX, VA 22030-5403
(703) 691-2570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024128030
VA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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