Individual
DHARIKA M BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
3914 CENTREVILLE RD STE 250, CHANTILLY, VA 20151-3290
(703) 435-1223
(703) 435-1868
Mailing address
12207 DESOTO FALLS CT, BRISTOW, VA 20136-2172
(703) 853-2955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024174359
VA
363LF0000X
Family Nurse Practitioner
Primary
0024174359
VA
Other
Enumeration date
02/07/2017
Last updated
10/31/2021
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