Individual
NARAYANA GABRIEL PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
(703) 560-4862
Mailing address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
(703) 560-4862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182301
VA
Other
Enumeration date
08/26/2021
Last updated
09/17/2021
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