Individual
MARISA KONISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1800 TOWN CENTER DR STE 311, RESTON, VA 20190-3239
(703) 763-2705
(833) 907-2320
Mailing address
13168 CENTERPOINTE WAY STE 101, WOODBRIDGE, VA 22193-5287
(703) 730-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181654
VA
Other
Enumeration date
08/12/2021
Last updated
10/30/2023
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