Individual
SMART C DURUEGBUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1344
(804) 372-5476
Mailing address
3611 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24195159
VA
Other
Enumeration date
11/01/2025
Last updated
12/03/2025
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