Individual
MS. MARIA THERESA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2028B OPITZ BLVD # 22191, WOODBRIDGE, VA 22191
(703) 497-0212
Mailing address
2028 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3326
(703) 497-0212
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
0001228137
VA
363LF0000X
Family Nurse Practitioner
Primary
0024174900
VA
Other
Enumeration date
06/07/2017
Last updated
08/23/2018
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