Individual
MRS. SOPHIA BANU VANATHAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8000
Mailing address
3615 POCONO PL, BELTSVILLE, MD 20705-3546
(301) 980-8428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1015098
DC
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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