Individual
MS. REBECCA DIANNE HUFFSTUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12255 FAIR LAKES PARKWAY, FAIRFAX, VA 22033-4512
(703) 934-5700
(703) 934-5778
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001133877
VA
363L00000X
Nurse Practitioner
0024133877
VA
Other
Enumeration date
12/14/2006
Last updated
01/05/2012
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