Individual
RONG FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1680 CAPITAL ONE DR # C2, MC LEAN, VA 22102-3407
(703) 720-1290
(703) 720-1291
Mailing address
1680 CAPITAL ONE DR # C2, MC LEAN, VA 22102-3407
(703) 720-1290
(703) 720-1291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001285315
VA
363L00000X
Nurse Practitioner
Primary
0024184817
VA
Other
Enumeration date
08/02/2022
Last updated
01/08/2025
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