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Individual

ALENA JOY OATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
10623 CRESTWOOD DR, MANASSAS, VA 20109-3433
(703) 361-7131
Mailing address
223 E TOWN ST STE 417, COLUMBUS, OH 43215-4667

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN.485488
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
0024186543
VA
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.0032099
OH

Other

Enumeration date
04/05/2022
Last updated
03/25/2023
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