Emily Dettbarn

NPI #1023969417 in Fairfax, Virginia

Provider Information

NPI Number: 1023969417
Entity Type: Individual
Name: Emily Dettbarn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Feb 3, 2026
Last Updated: Feb 3, 2026

Practice Location

Address: 2710 PROSPERITY AVE
City: Fairfax
State: Virginia
ZIP Code: 22031-4357
Phone: (702) 289-1290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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