Individual
MICHELLE EVANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3804 EXECUTIVE AVE, APT D-1, ALEXANDRIA, VA 22305-2118
(703) 519-1725
(703) 519-1738
Mailing address
3804 EXECUTIVE AVE, APT D-1, ALEXANDRIA, VA 22305-2118
(703) 519-1725
(703) 519-1738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165739
VA
Other
Enumeration date
01/04/2006
Last updated
04/18/2014
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