AMBER DISE

WOODBRIDGE, VA
NPI1427345867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024184766)
Additional Taxonomies163W00000X Registered Nurse
(Licence: VA  0001179853)
Enumeration Date2011-07-06
Last Update Date2024-10-16
Business Address
Mrs. AMBER DISE
12572 PLYMOUTH CT
WOODBRIDGE, VA 22192-2321
Phone number: 703-492-4740
Mailing Address
Mrs. AMBER DISE
12572 PLYMOUTH CT
WOODBRIDGE, VA 22192-2321
Phone number: 703-498-7684