Individual
MAKENZIE D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 KING ST STE 201, ALEXANDRIA, VA 22302-4420
(571) 665-6600
Mailing address
22886 LIVINGSTON TER, BRAMBLETON, VA 20148-5638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024196501
VA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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