Individual
CARLY ANN BIRKHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
5310 DANBURY FOREST DR, SPRINGFIELD, VA 22151-1702
(203) 362-8323
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0001265816
VA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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