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Marisa Wong, FNP
Family Nurse Practitioner in Fairfax, Virginia
NPI 1649906454

Marisa Wong is a Family Nurse Practitioner based in Vienna, VA and is specialized in Family. Marisa Wong practices in Fairfax, VA and has the professional credentials of FNP. The NPI Number for Marisa Wong is 1649906454 and holds a License No. 0024177055 (Virginia).

The current practice location address for Marisa Wong is 2710 Prosperity Ave Ste 200, Fairfax, VA and can be reached out via phone at 703-280-2841.

Location: 2710 Prosperity Ave Ste 200, Fairfax, VA, 22182-5019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649906454
Provider Name
Marisa Wong
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2710 Prosperity Ave Ste 200, Fairfax, VA, 22182-5019
Phone Number
703-280-2841
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2710 Prosperity Ave Ste 200
City
Fairfax
State
Virginia
Zip
22031-4358
Phone Number
703-280-2841
Fax Number
person
Provider Business Mailing Address Details
Address
2710 Prosperity Ave Ste 200
City
Fairfax
State
Virginia
Zip
22031-4358
Phone Number
703-280-2841
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024177055 (Virginia)
Definition
Definition to come...
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