Individual
MRS. KIMBERLY A. MCCUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
10527 BRADDOCK RD, FAIRFAX, VA 22032-2247
(703) 425-3300
(703) 372-5244
Mailing address
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310
(703) 971-6900
(703) 372-5244
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0017136898
VA
Other
Enumeration date
09/12/2007
Last updated
09/05/2013
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