Individual
JAE RYOUNG ANAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ACHPN
Contact information
Practice address
672 GLOUCESTER RD, SALUDA, VA 23149-2591
(804) 758-2363
(804) 758-3857
Mailing address
672 GLOUCESTER RD, SALUDA, VA 23149-2591
(804) 758-2363
(804) 758-3857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179369
VA
Other
Enumeration date
06/22/2020
Last updated
03/27/2026
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