Individual
GUADALUPE CHICAS PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1045 S EDISON ST, ARLINGTON, VA 22204-3220
(571) 289-9475
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0001227695
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
2022137914
VA
Other
Enumeration date
02/16/2023
Last updated
03/03/2024
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