Individual
MRS. MICHELLE WAVERLY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
301 MAPLE AVE W STE 120, VIENNA, VA 22180-4303
(703) 938-8885
(703) 242-2437
Mailing address
9373 PETER ROY CT, BURKE, VA 22015-4265
(757) 319-1228
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0024185187
VA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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