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Organization

INOVA FAIRFAX HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLY ANN SOLOMON NP (THORACIC NURSE PRACTITIONER)
(703) 776-4132
Entity
Organization

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4132
Mailing address
12609 LAMP POST LN, POTOMAC, MD 20854-2314
(301) 309-3781

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0017138748
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017138748
NURSE PRACTITIONER NUMBER
VA
Enumeration date
02/15/2007
Last updated
10/01/2008
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