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Individual

MISS NIKKI GIOVANNI TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3302 GALLOWS RD, FALLS CHURCH, VA 22042-3353
(703) 645-3171
(703) 207-7442
Mailing address
11821 FEDERALIST WAY, FAIRFAX, VA 22030-7864
(804) 301-2854
(703) 207-7442

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165958
VA

Other

Enumeration date
06/28/2006
Last updated
07/08/2007
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