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Individual

DANAH JAGUETA BALMACEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
24430 STONE SPRINGS BLVD, DULLES, VA 20166-2267
(571) 439-4000
Mailing address
24430 STONE SPRINGS BLVD, DULLES, VA 20166-2267
(571) 349-5330

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024179828
VA
363LA2200X
Adult Health Nurse Practitioner
0024179828
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
0024179828
VA
363LG0600X
Gerontology Nurse Practitioner
0024179828
VA

Other

Enumeration date
08/10/2020
Last updated
09/29/2023
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