Individual
MRS. ANTONIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
13880 BRADDOCK RD STE 201, CENTREVILLE, VA 20121-2461
(703) 802-6304
Mailing address
4155 JEREMY GRV, FAIRFAX, VA 22030-8556
(734) 352-7254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182843
VA
Other
Enumeration date
10/12/2021
Last updated
04/13/2023
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