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Individual

MAMTA SHRESTHA JAVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(571) 363-3539
(571) 363-3540
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175365
VA

Other

Enumeration date
10/03/2017
Last updated
05/06/2026
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