Individual
INDIA CHANTEL SCHLUDERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
365 HERNDON PKWY STE 105, HERNDON, VA 20170-6236
(703) 531-3000
Mailing address
25832 KIRKWOOD SQ, CHANTILLY, VA 20152-2085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024182791
VA
363LF0000X
Family Nurse Practitioner
Primary
0024182791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467115618
—
VA
Enumeration date
10/14/2021
Last updated
10/06/2025
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