Individual
KUSUM BHETWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12804 WESTIN ESTATES DRIVE, GLEN ALLEN, VA 23059
(804) 382-5458
Mailing address
12804 WESTIN ESTATES DRIVE, GLEN ALLEN, VA 23059
(804) 382-5458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179682
VA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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