Individual provider · Type 1 NPI

Marie Bernadette Gaston Diez, F.N.P.

Family Nurse Practitioner · Fairfax, VA

NPI number 1568488138 Active

Practice location

8505 Arlington Blvd, Suite 400
Fairfax, VA 22031

Call (571) 226-5600 Map

Fax (571) 423-5067

Mailing address

8505 Arlington Blvd, Suite 400
Fairfax, VA 22033

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0001135171 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1568488138

Marie Bernadette Gaston Diez, F.N.P.'s National Provider Identifier is 1568488138, issued on Jul 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on Dec 19, 2012.