Individual
ELIZABETH BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22624 SCATTERSVILLE GAP TER, ASHBURN, VA 20148-3177
(203) 362-8141
Mailing address
22624 SCATTERSVILLE GAP TER, ASHBURN, VA 20148-3177
(203) 362-8141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183798
VA
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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