Individual
HEATHER MARIE FEDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
10600 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2637
(540) 604-9500
Mailing address
8365 GREENSBORO DR, STE A, MC LEAN, VA 22102-3530
(540) 604-9500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024172930
VA
Other
Enumeration date
09/17/2015
Last updated
04/04/2016
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