Individual
SANDRA BURNETT EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3306 HANES AVE, RICHMOND, VA 23222-2627
(804) 248-0808
(804) 340-6729
Mailing address
3306 HANES AVE, RICHMOND, VA 23222-2627
(804) 248-0808
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024189748
VA
Other
Enumeration date
04/12/2017
Last updated
09/11/2024
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