Individual
MS. JULIE P DICERBO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
9501 FARRELL RD, GC11, FORT BELVOIR, VA 22060-5901
(703) 805-0045
(703) 805-0284
Mailing address
5120 LIPSNER CT, ANNANDALE, VA 22003-4124
(703) 978-0403
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024095578
VA
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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