Individual
PAM L DIFFLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER, RESTON, VA 20190
(703) 471-0919
(703) 742-9081
Mailing address
PO BOX 2757, RESTON, VA 20195
(703) 471-0919
(703) 742-9081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
VA
367500000X
Certified Registered Nurse Anesthetist
—
VA
Other
Enumeration date
02/13/2006
Last updated
09/11/2025
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