Individual provider · Type 1 NPI
Kelly Dewyer
Nurse Practitioner · Washington, DC
Practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
2079 Daniel Stuart Sq
Woodbridge, VA 22191-3317
Other practice locations
- 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 · (703) 491-5600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 0024172968 (VA) |
| Nurse Practitioner Primary | 363L00000X | NP1025366 (DC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1932579893
Kelly Dewyer's National Provider Identifier is 1932579893, issued on Oct 3, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Nov 30, 2022.