Individual
MRS. CHANDA DANIELLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 OLD WAGNER RD STE 103, PETERSBURG, VA 23805-9313
(804) 526-3821
(804) 526-6065
Mailing address
11401 WEEPING CHERRY LN, MOSELEY, VA 23120-1566
(516) 509-0553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179384
VA
Other
Enumeration date
06/27/2020
Last updated
05/09/2026
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