Individual
STEVEN DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-8997
Mailing address
43808 LABURNUM SQ, ASHBURN, VA 20147-5444
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024189258
VA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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