Individual
MITTAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12228 PAXTON GLEN TER, GLEN ALLEN, VA 23059-7166
(805) 504-6783
Mailing address
12228 PAXTON GLEN TER, GLEN ALLEN, VA 23059-7166
(805) 504-6783
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001275667
VA
363L00000X
Nurse Practitioner
Primary
0024187380
VA
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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