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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY BONVISSUTO, APRN

Active

MARY BONVISSUTO, APRN is a Primary Care Nurse Practitioner healthcare provider located in RESTON, Virginia. NPI 1316713480 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · RESTON, VA

Registration Details

NPI Number
1316713480
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2023 (2.6602300936869 yrs)
Last Updated
Nov 30, 2023
License
0024188379 (VA)

Practice Information

Address
11484 WASHINGTON PLZ W STE 300
RESTON, VA, 201904342
Browse VA providers · Browse ZIP 20190
Phone
7034432000
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in RESTON, VA

Name Credential NPI
MRS. ROSEMARIE ANN RAYMOND APRN-BC NP 1720099492
GEORGE BITUIN PASION AGNP-C 1740151752
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.