Individual
CHANDRA JEANNE BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4654A 36TH STREET SOUTH, ARLINGTON, VA 22206
(703) 946-0708
Mailing address
4654A 36TH STREET SOUTH, ARLINGTON, VA 22206
(703) 946-0708
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001260026
VA
163WX0003X
Inpatient Obstetric Registered Nurse
0001260026
VA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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