Organization
RADER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY EVA USHER NP (FAMILY NURSE PRACTITIONER)
(703) 696-3447
Entity
Organization
Contact information
Practice address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 696-3447
Mailing address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 696-3447
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
495950
CA
Other
Enumeration date
10/31/2005
Last updated
05/14/2013
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