Individual
SAJITHA NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12305 MAYBROOK LN, GLEN ALLEN, VA 23059-6908
(804) 490-8824
Mailing address
12305 MAYBROOK LN, GLEN ALLEN, VA 23059-6908
(804) 490-8824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024183239
VA
363LA2100X
Acute Care Nurse Practitioner
0024183239
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024183239
VA
Other
Enumeration date
02/14/2022
Last updated
10/25/2024
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