Individual
MARISSA RAJA WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 TODDSBURY PL, RESTON, VA 20191-1623
(703) 401-6126
Mailing address
2300 TODDSBURY PL, RESTON, VA 20191-1623
(703) 401-6126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024194632
VA
Other
Enumeration date
12/30/2025
Last updated
05/01/2026
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