Individual
KATHERINE BLISNIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1262 WILD HAWTHORN WAY, RESTON, VA 20194-1017
(352) 455-3070
Mailing address
1262 WILD HAWTHORN WAY, RESTON, VA 20194-1017
(352) 455-3070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189481
VA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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