Individual
BLANCA LUIZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3523 COVERED BRIDGE LN, WOODBRIDGE, VA 22192-6411
(703) 414-9476
Mailing address
3523 COVERED BRIDGE LN, WOODBRIDGE, VA 22192-6411
(703) 414-9476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186571
VA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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