Individual
MRS. MICHELLE IRENE PEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
952 EDWARDS FERRY RD NE, LEESBURG, VA 20176-3324
(703) 687-4158
Mailing address
952 EDWARDS FERRY RD NE, LEESBURG, VA 20176-3324
(703) 687-4158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174355
VA
Other
Enumeration date
01/10/2017
Last updated
02/15/2017
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