Individual
MRS. MADELEINE MARGARET GILLWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4600 LANGSTON BLVD, ARLINGTON, VA 22207
(571) 492-3080
(571) 492-3081
Mailing address
4600 LANGSTON BOULEVARD, ARLINGTON, VA 22207
(571) 977-5274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1019855
DC
163WC0200X
Critical Care Medicine Registered Nurse
0001241677
VA
163WN0002X
Neonatal Intensive Care Registered Nurse
0001241677
VA
363LF0000X
Family Nurse Practitioner
Primary
0024174872
VA
Other
Enumeration date
03/25/2014
Last updated
01/26/2023
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