Individual
TERESA T DESANCTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
21785 FILIGREE CT, SUITE 201, ASHBURN, VA 20147-6213
(703) 726-9930
(703) 723-5778
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 726-9930
(703) 723-8283
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167670
VA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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