Individual
MRS. MARY JEAN BOZZELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2200 OPITZ BLVD., STE 250, WOODBRIDGE, VA 22191
(703) 494-5858
(703) 491-1416
Mailing address
2200 OPITZ BLVD., STE. 250, WOODBRIDGE, VA 22191
(703) 494-5858
(703) 491-1416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024065287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017000561
LICENSE
VA
Enumeration date
11/07/2006
Last updated
12/04/2013
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