Individual
MS. PRISCILLA ANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7117 ITTE LN, SPRINGFIELD, VA 22150-3150
(703) 403-6957
Mailing address
7117 ITTE LN, SPRINGFIELD, VA 22150-3150
(703) 403-6957
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001244726
VA
163WM0102X
Maternal Newborn Registered Nurse
RN0001244726
VA
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/21/2015
Last updated
07/03/2023
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