Individual
MARY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8713 DIGGES RD, MANASSAS, VA 20110-4403
(703) 330-9222
Mailing address
4701 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22407-9435
(540) 785-7810
(540) 834-5441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170358
VA
Other
Enumeration date
03/15/2013
Last updated
02/28/2017
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