Individual
KSENIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(202) 651-1703
Mailing address
6301 EDSALL RD UNIT 405, ALEXANDRIA, VA 22312-2684
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024189220
VA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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