Individual
MRS. KERI L BORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
6201 CENTREVILLE RD STE 100, CENTREVILLE, VA 20121-2626
(703) 263-6900
(844) 560-1480
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001222361
VA
363L00000X
Nurse Practitioner
Primary
0024184486
VA
Other
Enumeration date
01/27/2022
Last updated
09/16/2022
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