Individual
MRS. KRISTINE SUSANNE SIMBULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5500 FOX MARSH PL, MOSELEY, VA 23120-1604
(858) 602-9723
Mailing address
5500 FOX MARSH PL, MOSELEY, VA 23120-1604
(858) 602-9723
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
24188418
VA
Other
Enumeration date
03/27/2009
Last updated
07/29/2025
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