Individual
JANELLE TATIANA IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP
Contact information
Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(877) 415-4116
Mailing address
23548 KINGSDALE TER, BRAMBLETON, VA 20148-7616
(570) 269-6855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181408
VA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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