Individual
NARDOS TENAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3075
(571) 556-8205
(833) 428-8384
Mailing address
7110 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3075
(301) 755-7961
(833) 428-8384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
T500-622-027-288
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191812
VA
Other
Enumeration date
07/27/2022
Last updated
04/21/2025
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