Individual
MS. IMANI CASSHAWN CHISLEY-PITTMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4600 LANGSTON BLVD, ARLINGTON, VA 22207
(571) 492-3080
(571) 492-3081
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178077
VA
363LF0000X
Family Nurse Practitioner
R212352
MD
Other
Enumeration date
09/21/2016
Last updated
05/23/2022
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