Individual
KIRSTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
PO BOX 7245, FAIRFAX STATION, VA 22039-7245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179862
VA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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