Individual
GEORGINA ROSE CHIDAUSHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12332 TOWNCENTER PLZ STE 649, STERLING, VA 20164-7045
(571) 946-6502
(571) 376-6743
Mailing address
12332 TOWNCENTER PLZ STE 649, STERLING, VA 20164-7045
(571) 946-6502
(571) 376-6743
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179701
VA
Other
Enumeration date
07/29/2020
Last updated
07/24/2025
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