Individual
ALLISON KOUTSANDREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8081 INNOVATION PARK DR STE 900, FAIRFAX, VA 22031-4867
(571) 423-4200
(571) 472-4201
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174490
VA
363LF0000X
Family Nurse Practitioner
2016016265
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213293228
—
DC
Enumeration date
02/15/2017
Last updated
09/23/2022
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