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Individual

YARED TAFFESSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Mailing address
708 REDGATE LN, WOODBRIDGE, VA 22191-1459
(571) 338-8424

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024188119
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC005887
MD

Other

Enumeration date
09/19/2023
Last updated
06/24/2024
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