Individual
ALYSON R SEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
(703) 858-6900
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176872
VA
363LA2100X
Acute Care Nurse Practitioner
RN1014594
DC
Other
Enumeration date
05/09/2012
Last updated
07/18/2022
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