Individual provider · Type 1 NPI

Marisa Wong, FNP

Family Nurse Practitioner · Fairfax, VA

NPI number 1649906454 Active

Practice location

2710 Prosperity Ave Ste 200
Fairfax, VA 22031-4358

Mailing address

8525 Tysons Ct
Vienna, VA 22182-5019

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024177055 (VA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1649906454

Marisa Wong, FNP's National Provider Identifier is 1649906454, issued on Jul 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 10, 2022.