person
Judith Stewart Wackenhut, CPNP
Pediatric Nurse Practitioner in Alexandria, Virginia
NPI 1275076101

Judith Stewart Wackenhut is a Pediatric Nurse Practitioner based in Alexandria, VA and is specialized in Pediatrics. Judith Stewart Wackenhut practices in Alexandria, VA and has the professional credentials of CPNP. The NPI Number for Judith Stewart Wackenhut is 1275076101 and holds a License No. 0024087869 (Virginia).

The current practice location address for Judith Stewart Wackenhut is 545 Triadelphia Way, Alexandria, VA and can be reached out via phone at 205-437-8870 and via fax at 205-437-8875. You can also correspond with Judith Stewart Wackenhut through the mailing address at 545 TRIADELPHIA WAY, ALEXANDRIA, VA - 22312-3496 (mailing address contact number: 205-437-8870).

Location: 545 Triadelphia Way, Alexandria, VA, 22312-3496
person
Provider Profile Details
NPI Number
1275076101
Provider Name
Judith Stewart Wackenhut
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
545 Triadelphia Way, Alexandria, VA, 22312-3496
Phone Number
205-437-8870
Fax Number
205-437-8875
Provider Enumeration Date
11/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
545 Triadelphia Way
City
State
Zip
22312-3496
Phone Number
205-437-8870
Fax Number
205-437-8875
person
Provider Business Mailing Address Details
Address
545 Triadelphia Way
City
State
Zip
22312-3496
Phone Number
205-437-8870
Fax Number
205-437-8875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
0024087869 (Virginia)
Definition
Definition to come...
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