Individual
MRS. AMY PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1850 TOWN CENTER PKWY STE 410, RESTON, VA 20190-3300
(571) 393-6987
Mailing address
3601 PICKETT RD UNIT 2236, FAIRFAX, VA 22031-8112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180426
VA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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