Individual
MARY GAFFNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
853 SHADY DR SE, VIENNA, VA 22180-5990
(630) 388-8355
Mailing address
853 SHADY DR SE, VIENNA, VA 22180-5990
(630) 388-8355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024187820
VA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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