Individual provider · NPI-1

Charmaine Tuck, FNP

Nurse Practitioner, Family · Sterling, VA

NPI number1265096127
StatusActive
Last updated in NPPESFeb 21, 2024

Details

NPI
1265096127
Entity type
Individual (NPI-1)
Name
Charmaine Tuck
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2019
Certification date
Feb 21, 2024
Last updated
Feb 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family0024176765VAYes
363LP0200X Nurse Practitioner, Pediatrics0024176765VA

Practice location

46165 Westlake Dr
Sterling, VA 20165-5872

Phone 703-433-1555

Mailing address

43172 Fleur Dr
Leesburg, VA 20176-5015

Phone 334-313-0678

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