Individual
SHREYA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21035 SYCOLIN ROAD, SUITE 180, ASHBURN, VA 20147-4311
(703) 783-5673
(703) 297-3919
Mailing address
224-D CORNWALL STREET, NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8610
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024188865
VA
363LA2100X
Acute Care Nurse Practitioner
209022903
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018001920001
—
VA
Enumeration date
04/06/2021
Last updated
11/25/2024
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