Individual
MRS. TAMMI NICOLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-7950
(703) 504-3287
Mailing address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-7950
(703) 504-3287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002125
VA
Other
Enumeration date
09/23/2006
Last updated
09/26/2007
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