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Individual

SHUCHITA VANDRA GORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP, FNP-C

Contact information

Practice address
1775 TYSONS BLVD STE 300, TYSONS, VA 22102-4285
(202) 627-1904
(202) 660-0025
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
(415) 520-0904

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177546
VA

Other

Enumeration date
07/29/2015
Last updated
11/08/2021
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