Individual
MARJORIE KATHERINE DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 HERITAGE WAY NE, SUITE 100, LEESBURG, VA 20176-4544
(703) 771-5804
(703) 771-5393
Mailing address
211 S MAPLE AVE, PURCELLVILLE, VA 20132-3354
(540) 338-2094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024103622
VA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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