Individual
MEREDITH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 305, FAIRFAX, VA 22033-1764
(703) 648-3266
(703) 648-3264
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001283520
VA
Other
Enumeration date
09/01/2022
Last updated
03/18/2024
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