Individual
PALOMA D FERNANDEZ-TRUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
8081 INNOVATION PARK DR STE 700, FAIRFAX, VA 22031-4867
(571) 472-2900
(571) 742-2901
Mailing address
11406 ESPLANADE DR APT 112, RESTON, VA 20194-1262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177470
VA
363LA2100X
Acute Care Nurse Practitioner
RN1042750
DC
Other
Enumeration date
02/03/2017
Last updated
01/11/2023
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