Individual
MICHELLE MARIE PONTURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3116
(703) 504-7616
Mailing address
2001 N BEAUREGARD ST, SUITE 200, ALEXANDRIA, VA 22311-1739
(703) 824-3200
(703) 671-4502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001152732
VA
363LA2100X
Acute Care Nurse Practitioner
0024152732
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
65346
DC
Other
Enumeration date
04/06/2007
Last updated
09/11/2025
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