Individual
MRS. MARY T CONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
21785 FILIGREE CT STE 100, ASHBURN, VA 20147-6214
(703) 554-1100
Mailing address
23064 LAVALLETTE SQ, BRAMBLETON, VA 20148-4926
(801) 781-0343
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024176450
VA
363LF0000X
Family Nurse Practitioner
Primary
0024176450
VA
Other
Enumeration date
08/20/2018
Last updated
12/04/2025
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