Individual
PATRICK JOSEPH VANDER WOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, NP-C
Contact information
Practice address
8640 SUDLEY RD STE 203, MANASSAS, VA 20110-4404
(703) 368-3161
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001266804
VA
Other
Enumeration date
08/09/2018
Last updated
10/26/2020
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