Individual
JENNIFER PANOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4163 S FOUR MILE RUN DR UNIT 304, ARLINGTON, VA 22204-3971
(860) 367-6167
Mailing address
4163 S FOUR MILE RUN DR UNIT 304, ARLINGTON, VA 22204-3971
(860) 367-6167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001255018
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186311
VA
Other
Enumeration date
03/04/2022
Last updated
07/29/2024
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