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Individual

MS. AMBERLY MICHELLE DUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
10390 DEMOCRACY LANE, FAIRFAX, VA 22030
(703) 219-2571
(703) 324-7092
Mailing address
10390 DEMOCRACY LANE, FAIRFAX, VA 22030
(703) 219-2571
(703) 324-7092

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170947
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R169933
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440049600
MD
Enumeration date
11/17/2008
Last updated
02/11/2014
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