Individual
COLETTE T KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
8350 RICHMOND HWY STE 301, ALEXANDRIA, VA 22309-2344
(703) 704-7082
Mailing address
8350 RICHMOND HWY STE 301, ALEXANDRIA, VA 22309-2344
(703) 704-7082
(703) 704-6679
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001098727
VA
363L00000X
Nurse Practitioner
Primary
0024173673
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639406317
—
WI
Enumeration date
11/17/2009
Last updated
03/07/2023
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