Individual
MS. RENEE L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, WHNP-BC
Contact information
Practice address
4222 FORTUNA CENTER PLAZA STE 280, DUMFRIES, VA 22025
(240) 289-3887
Mailing address
4222 FORTUNA CENTER PLAZA STE 280, DUMFRIES, VA 22025
(240) 289-3887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001278906
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024177132
VA
Other
Enumeration date
09/01/2018
Last updated
04/16/2019
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