Olivia Le
Nurse Practitioner, Family in Fairfax, VA. Individual provider (NPI-1).
NPI number1669131645
StatusActive
Last updated in NPPESApr 7, 2022
Details
- NPI
- 1669131645
- Entity type
- Individual (NPI-1)
- Name
- Olivia Le
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2021
- Certification date
- Apr 7, 2022
- Last updated
- Apr 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024182153 | VA | Yes |
| 2083B0002X | Preventive Medicine, Obesity Medicine | 0024182153 | VA |
Practice location
3903 Fair Ridge Dr Ste 209Fairfax, VA 22033-2944
Phone 703-424-9676
Mailing address
14276 Ladderbacked DrGainesville, VA 20155-5919
Other practice locations
14276 Ladderbacked Dr
Gainesville, VA 20155-5919
Gainesville, VA 20155-5919
Phone 703-981-3584
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