Individual
CINDY SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FIRST ASSIST,CNOR
Contact information
Practice address
12011 ROUTE 50 STE 501, FAIRFAX, VA 22033-3315
(703) 259-7027
(703) 591-0005
Mailing address
12011 ROUTE 50 STE 501, FAIRFAX, VA 22033-3315
(703) 259-7027
(703) 591-0005
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0001097760
VA
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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