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Individual

RENU SADANANDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1510 N 28TH ST, SUITE 101, RICHMOND, VA 23223-5311
(804) 371-1670
(804) 371-1671
Mailing address
1510 N 28TH ST, SUITE 101, RICHMOND, VA 23223-5311
(804) 371-1670
(804) 371-1671

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0001193214
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C06115
GROUP PTAN
VA
Enumeration date
08/06/2015
Last updated
08/06/2015
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