Individual
DENA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
3914 CENTREVILLE RD, CHANTILLY, VA 20151-3289
(703) 481-8615
(703) 481-8615
Mailing address
3914 CENTREVILLE RD, CHANTILLY, VA 20151-3289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0024165936
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0001170024
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396876520
—
VA
Enumeration date
03/08/2007
Last updated
07/18/2012
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