Individual
VAIBHAVIBEN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5774 BURKE TOWNE CT, BURKE, VA 22015-3136
(443) 799-9793
Mailing address
5774 BURKE TOWNE CT, BURKE, VA 22015-3136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001218099
VA
363L00000X
Nurse Practitioner
Primary
0024179437
VA
Other
Enumeration date
03/05/2020
Last updated
06/19/2020
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