Individual
MRS. TRISH SUZANNE EBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14121 PARKE LONG CT STE 201, CHANTILLY, VA 20151-1647
(855) 247-1940
Mailing address
14121 PARKE LONG CT, CHANTILLY, VA 20151-1647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN281858
MA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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