Individual
ILLANA NAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10294 S GRANT AVE, MANASSAS, VA 20110-6135
(703) 975-9510
Mailing address
10294 S GRANT AVE, MANASSAS, VA 20110-6135
(703) 975-9510
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
0001096064
VA
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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