Individual
KRISTEN DICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
(434) 258-2877
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172218
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477949758
—
VA
Enumeration date
04/13/2015
Last updated
09/11/2025
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