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Individual

MS. SUZANNE MESSER MALOUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5700
(703) 934-5778
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, THERESA BROOKS, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024000057
VA
363L00000X
Nurse Practitioner
R105688
MD
363L00000X
Nurse Practitioner
RN59417
DC

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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