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Individual

MRS. PAMELA DAWN BARSTOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1800 TOWN CENTER DRIVE SUITE 220, RESTON, VA 20190-3238
(703) 435-2555
(571) 926-8910
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174753
VA
363LF0000X
Family Nurse Practitioner
RN212817
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821470246
VA
05
30016639740004
VA
Enumeration date
06/22/2015
Last updated
04/22/2024
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