Individual
MARISA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45085 UNIVERSITY DR, ASHBURN, VA 20147-2766
(202) 888-5953
Mailing address
1140 23RD ST NW, WASHINGTON, DC 20037-1437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R252180
MD
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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