Phenories Massenburg
Registered Nurse in Alexandria, VA. Individual provider (NPI-1).
NPI number1013765239
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1013765239
- Entity type
- Individual (NPI-1)
- Name
- Phenories Massenburg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2024
- Certification date
- May 10, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 0001146528 | VA | Yes |
Practice location
4850 Mark Center DrAlexandria, VA 22311-1882
Phone 703-746-3400
Mailing address
4850 Mark Center Dr Fl 9Alexandria, VA 22311-1882
Phone 703-746-3444
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