Individual
ANGELA ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
21785 FILIGREE CT, STE 100, ASHBURN, VA 20147-6213
(703) 554-1100
(703) 554-1122
Mailing address
5618 WHEELWRIGHT WAY, HAYMARKET, VA 20169-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172916
VA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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