Most Relevant Information
Provider Data
NPI Number: | 1003212515 |
Provider Name: | DIANA SPRING APRN, FNP-C |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 3008823 |
Most Important Dates
Enumeration Date: | 11/10/2014 |
Last Updated: | 11/10/2014 |
Provider Practice Location
14121 PARKE LONG CT STE 201
CHANTILLY
VA
201511647
Practice Location Phone/Fax
Phone: | 5713647110 |
Fax: | 8007522471 |
Provider Mailing Location
14121 PARKE LONG CT STE 201
CHANTILLY
VA
201511647
Provider Mailing Phone/Fax
Phone: | 5713647110 |
Fax: | 8007522471 |