Healthcare Provider Details

I. General information

NPI: 1790436764
Provider Name (Legal Business Name): HEATHER MARIE KUHLMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 WILSON BLVD FL 6
ARLINGTON VA
22209-2281
US

IV. Provider business mailing address

4375 FAIR LAKES CT
FAIRFAX VA
22033-4234
US

V. Phone/Fax

Practice location:
  • Phone: 888-732-8994
  • Fax:
Mailing address:
  • Phone: 571-432-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1790436764
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: