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Individual

ELIZABETH MARY BOSTWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
7611 LITTLE RIVER TPKE, 108W, ANNANDALE, VA 22003-2611
(703) 658-7060
Mailing address
7611 LITTLE RIVER TPKE, 108W, ANNANDALE, VA 22003-2611
(703) 658-7060

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
33336913
NY
363LF0000X
Family Nurse Practitioner
Primary
0024172751
VA

Other

Enumeration date
02/01/2012
Last updated
10/20/2015
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