Cornita Mental Health And Medical Services, Llc

NPI 1134524580 - Registered Nurse - 163W00000X

NPI Details
NPI 1134524580
Enumeration Date 10/28/2014
Last Updated 01/26/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CORDELIA CORDELIA
Position PRESIDENT/NURSE PRACTITIONER
Phone (703) 871-9334
Fax (703) 327-3229
Practice Location
12801 WORLDGATE DR
500-525A
HERNDON VA, 20170-4393, US
Phone (703) 871-9334
Fax (703) 327-3229
Business Location
42667 FREEDOM ST
SOUTH RIDING VA, 20152-3942, US
Phone (703) 869-5361
Fax (703) 327-3229
Toxanomy
Taxonomy Code 163W00000X
License State Virginia
License Number 0017137987
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According to our database, Cornita Mental Health And Medical Services, Llc NPI is 1134524580, taxonomy code is 163W00000X and license number is 0017137987, license state is located at Virginia. Cornita Mental Health And Medical Services, Llc physically located at 12801 Worldgate Dr, Herndon VA, 20170-4393. NPI Number 1033115704 has the healthcare provider type.

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1134524580 NPI number is provided on an as is basis without warranty of any kind. 1134524580 is maintained by the National Plan & Provider Enumeration System. The contents of Cornita Mental Health And Medical Services, Llc are for informational purposes only.