Individual
LAUREN MUCKELVENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2200 OPITZ BLVD STE 320, WOODBRIDGE, VA 22191-3349
(703) 770-6077
Mailing address
900 ARMY NAVY DR APT 1419, ARLINGTON, VA 22202-4932
(703) 447-7102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188844
VA
Other
Enumeration date
11/29/2023
Last updated
02/11/2024
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