Individual
COLLEEN KOTB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2100 WASHINGTON BLVD FL 2, ARLINGTON, VA 22204-5717
(703) 228-5644
(703) 228-5267
Mailing address
2110 WASHINGTON BLVD STE 350, ARLINGTON, VA 22204-5713
(703) 228-5644
(703) 228-5267
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024178731
VA
363LA2200X
Adult Health Nurse Practitioner
RN1006772
DC
Other
Enumeration date
05/07/2014
Last updated
05/23/2022
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