Individual
MS. BARBARA RITA WIATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9010 LORTON STATION BLVD STE 100, LORTON, VA 22079-4796
(703) 436-1200
(571) 642-0392
Mailing address
1500 N BEAUREGARD ST STE 200, ALEXANDRIA, VA 22311-1700
(703) 436-1215
(703) 575-9525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001109889
VA
363L00000X
Nurse Practitioner
Primary
0024109889
VA
Other
Enumeration date
12/12/2006
Last updated
02/22/2013
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