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Individual

AMANDA FAITH WHITNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3650 JOSEPH SIEWICK DR STE 204, FAIRFAX, VA 22033-1712
(703) 264-0521
Mailing address
9217 BURKE RD, BURKE, VA 22015-3315
(540) 446-8922

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183253
VA

Other

Enumeration date
01/20/2022
Last updated
01/20/2022
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