Individual
DEIRDRE D MAKINEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6303 LITTLE RIVER TPKE, #300, ALEXANDRIA, VA 22312
(703) 914-8989
(703) 914-5494
Mailing address
10917 PAYNES CHURCH DR, FAIRFAX, VA 22032
(703) 273-0307
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0017000220
VA
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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