Individual
MS. PAULA ANN WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-7819
Mailing address
2923 HIBBARD ST, OAKTON, VA 22124-2613
(703) 255-9204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1045122
VA
Other
Enumeration date
11/08/2008
Last updated
11/08/2008
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