Individual
MRS. MARY CHARLENE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE., WASHINGTON, DC 20307-0001
(202) 782-0411
(202) 782-4658
Mailing address
2 BARCLAY LN, STAFFORD, VA 22554-7724
(540) 720-7718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN963866
DC
363LF0000X
Family Nurse Practitioner
0024126766
VA
Other
Enumeration date
06/19/2006
Last updated
09/11/2025
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