Organization · Type 2 NPI

Minuteclinic Diagnostic of Virginia LLC

Family Nurse Practitioner · Leesburg, VA

NPI number 1417076829 Active

Practice location

19305 Ruby Dr
Leesburg, VA 20176-6508

Fax (401) 406-3539

Mailing address

PO Box 772, Minuteclinic CREDENTIALING-MC2295
Woonsocket, RI 02895-0784

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1417076829

Minuteclinic Diagnostic of Virginia LLC's National Provider Identifier is 1417076829, issued on Mar 28, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leesburg, VA. The record was last updated on Jun 24, 2024.