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Individual

KRYSTYNA LEE PORTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1450 SACHEM PL UNIT 201, CHARLOTTESVILLE, VA 22901-2554
(434) 973-9744
Mailing address
1053 TILMAN RD, CHARLOTTESVILLE, VA 22901-6337
(434) 242-6178

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175928
VA

Other

Enumeration date
08/30/2018
Last updated
11/09/2018
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