Individual
MRS. KYANA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2833 CLEAVE DR, FALLS CHURCH, VA 22042-2307
(800) 969-1104
(703) 398-1516
Mailing address
43389 FRENCHMANS CREEK TER, ASHBURN, VA 20147-7024
(608) 977-2933
(703) 991-7440
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024178759
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102236169
—
PA
Enumeration date
12/18/2008
Last updated
08/12/2024
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