Individual
AVANI RAJPOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(469) 550-1012
(240) 690-6454
Mailing address
417 COASTAL AVE, STAFFORD, VA 22554-6863
(469) 550-1012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179339
VA
363LF0000X
Family Nurse Practitioner
850051
TX
Other
Enumeration date
09/17/2018
Last updated
04/07/2023
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