NPI 1174228522

Michelle Iesha Werner, MSATCCSCS

Practitioner Sports Medicine (Family Medicine) Physician Bristow, VA

Practice location

Address: 10322 Bristow Center Dr, Bristow, VA 20136-2201
Phone: (571) 284-4230
Mailing address: 4259 Bear Hollow Trl, Haymarket, VA 20169-1708

Registered specialties

Sports Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 0126001167 (VA)

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Registry record

NPI: 1174228522
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2023
Record last updated: 4 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.