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DEIDRA HARALSON NP
NPI 1609512292
Nurse Practitioner - Family in Woodbridge, VA

Active since May 07, 2022
13900 CHURCH HILL DR, WOODBRIDGE, VA 22191(703) 335-2779 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, May 7, 2022 (2 updates tracked since 2022).

About Deidra Haralson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA HARALSON NP (NPI 1609512292) is an individual family provider in Woodbridge, Virginia, licensed in Virginia (0024176534) and active in the NPI registry since May 2022. She maintains a secondary practice location in Fredericksburg.

NPPES Registry Identity

NPI1609512292
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIDRA HARALSONCredential: NP
Location Address13900 CHURCH HILL DRWoodbridge, VA 22191-2131
Mailing Address15325 Bowmans Folly DrManassas, VA 20112-5476 · (571) 455-0079
Phone(703) 335-2779
Sole ProprietorYes
Enumeration DateMay 7, 2022
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1609512292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024176534
13900 CHURCH HILL DR, Woodbridge, VA 22191
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Secondary Practice Location 1

Location 11301 Sam Perry Blvd # 100Fredericksburg, VA 22401-8420 · Phone (540) 741-1061

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDIBALDO SILVA LOPEZ M.D.
Surgery (Surgical Oncology)
13900 CHURCH HILL DR
WOODBRIDGE, VA 22191
Prince William County (703) 335-2779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Haralson's NPI number?

The NPI number for Deidra Haralson is 1609512292. It was assigned to this individual provider in the NPPES registry on May 7, 2022.

Where is Deidra Haralson located?

Deidra Haralson practices at 13900 Church Hill Dr, Woodbridge, VA 22191. The listed phone number is (703) 335-2779.

What is Deidra Haralson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Deidra Haralson was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.