Individual
MRS. RIETA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10777 MAIN ST, SUITE 203, FAIRFAX, VA 22030-6903
(703) 246-8643
Mailing address
11669 CAPTAIN RHETT LN, FAIRFAX STATION, VA 22039-1236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017000544
VA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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