Most Relevant Information
Provider Data
| NPI Number: | 1003666975 |
| Provider Name: | HARTLEY WENGER |
| Entity Type: | Individual |
| Taxonomy Code: | 364S00000X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 0024182029 |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
3300 GALLOWS RD
FALLS CHURCH
VA
220423307
Practice Location Phone/Fax
| Phone: | 7037767805 |
| Fax: |
Provider Mailing Location
9107 JOHN WAY
FAIRFAX STATION
VA
220393043
Provider Mailing Phone/Fax
| Phone: | 6318347955 |
| Fax: |