Individual
KENDRA DIANE ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-6906
(540) 662-1108
Mailing address
400 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-6906
(540) 662-1108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175805
VA
363LF0000X
Family Nurse Practitioner
93600
WV
363LF0000X
Family Nurse Practitioner
R118293
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891009775
—
WV
Enumeration date
08/03/2010
Last updated
05/24/2023
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