Individual
THERESA ANN ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT NP
Contact information
Practice address
14121 PARKE LONG CT STE 201, SUITE NO. 1080, CHANTILLY, VA 20151-1647
(855) 247-1940
(844) 379-5385
Mailing address
14121 PARKE LONG CT STE 201, SUITE NO. 1080, CHANTILLY, VA 20151-1647
(855) 247-1940
(844) 379-5385
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.12839-NP
OH
Other
Enumeration date
10/23/2012
Last updated
03/27/2017
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