Individual
MARY ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4207 GERMANNA HWY STE E, LOCUST GROVE, VA 22508-2040
(540) 726-5659
Mailing address
15521 REAL ESTATE AVE STE 206, KING GEORGE, VA 22485-5328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181712
VA
Other
Enumeration date
06/28/2021
Last updated
05/20/2022
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