Individual
ANU MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8150 LEESBURG PIKE, VIENNA, VA 22182-7715
(703) 214-5888
Mailing address
8150 LEESBURG PIKE, VIENNA, VA 22182-7715
(703) 214-5888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187035
VA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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