Individual
PATTI P DECORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2730 A PROSPERITY AVENUE, FAIRFAX, VA 22031-2238
(703) 289-1410
(703) 289-1420
Mailing address
2730 B PROSPERITY AVENUE, FAIRFAX, VA 22031-2238
(703) 289-1400
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167016
VA
Other
Enumeration date
08/07/2006
Last updated
12/05/2007
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