Individual
MARY L DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3650 JOSEPH SIEWICK DR, 400, FAIRFAX, VA 22033-1710
(703) 391-2020
Mailing address
12011 LEE JACKSON MEMORIAL HWY, 504, FAIRFAX, VA 22033-3335
(703) 391-2030
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024140553
VA
Other
Enumeration date
10/04/2006
Last updated
03/23/2015
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