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Individual

ANISA MERCHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5620 LAKE SHARON DR, GLEN ALLEN, VA 23060-6372
(817) 729-0428
(804) 585-1960
Mailing address
5620 LAKE SHARON DR, GLEN ALLEN, VA 23060-6372
(817) 729-0428
(804) 585-1960

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001236788
VA
163WA2000X
Administrator Registered Nurse
0001236788
VA
163WC1500X
Community Health Registered Nurse
0001236788
VA
163WH0200X
Home Health Registered Nurse
0001236788
VA
163WW0000X
Wound Care Registered Nurse
0001236788
VA

Other

Enumeration date
06/01/2024
Last updated
06/01/2024
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