Individual
MISS NAILEY MARY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4012 WILLIAMSBURG CT, FAIRFAX, VA 22032-1139
(703) 425-2273
(703) 425-2274
Mailing address
4012 WILLIAMSBURG CT, FAIRFAX, VA 22032-1139
(703) 425-2273
(703) 425-2274
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HCO-15403
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215964200
—
VA
Enumeration date
06/16/2018
Last updated
06/16/2018
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