Individual
MRS. SONAM NORBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, AG-ACNP
Contact information
Practice address
4887 WHEATSTONE DR, FAIRFAX, VA 22032-2341
(937) 474-3570
Mailing address
4887 WHEATSTONE DR, FAIRFAX, VA 22032-2341
(937) 474-3570
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024174624
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
R227564
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144674821
—
DC
Enumeration date
04/19/2016
Last updated
09/09/2021
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