Individual provider · NPI-1

Kathleen Mary Dickman, CFNP

Nurse Practitioner, Family · Sterling, VA

NPI number1306833728
StatusActive
Last updated in NPPESJun 5, 2013

Details

NPI
1306833728
Entity type
Individual (NPI-1)
Name
Kathleen Mary Dickman
Credential
CFNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2005
Last updated
Jun 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family0084059783VAYes

Practice location

21135 Whitfield Pl
Suite 107
Sterling, VA 20165-7283

Phone 703-421-7000 · Fax 703-430-4830

Mailing address

21135 Whitfield Pl
Suite 107
Sterling, VA 20165-7283

Phone 703-421-7000 · Fax 703-430-4830

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