Individual
CAROL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11213 LEE HWY STE H, FAIRFAX, VA 22030-5698
(703) 833-8023
Mailing address
3219 MANITOBA DR, WOODBRIDGE, VA 22192-1117
(571) 408-0172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172698
VA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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