Individual
MARY NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP,
Contact information
Practice address
10527 BRADDOCK RD, FAIRFAX, VA 22032-2247
(703) 425-3300
(703) 372-5244
Mailing address
7015 C MANCHESTER BLVD, ALEXANDRIA, VA 22310
(703) 971-6900
(703) 372-5244
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024164595
VA
Other
Enumeration date
03/08/2007
Last updated
05/28/2020
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