Individual
ELIESE RICHBOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5335 LANGSTON BLVD, ARLINGTON, VA 22207-1629
(703) 300-9179
Mailing address
5335 LANGSTON BLVD, ARLINGTON, VA 22207-1629
(703) 300-9179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188666
VA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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