Individual
MRS. APRIL MARIE GUSTILO HORTILLOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6317 W WASHINGTON ST., PETERSBURG, VA 23803
(804) 524-4416
Mailing address
6317 W WASHINGTON ST., PETERSBURG, VA 23801
(804) 524-4416
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001284384
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024190182
VA
Other
Enumeration date
03/26/2024
Last updated
05/13/2024
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