Individual
DR. KEHINDE HASSANAT ELISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, APRN
Contact information
Practice address
24100 STONE SPRINGS BLVD, STERLING, VA 20166-2254
(347) 901-6037
Mailing address
24100 STONE SPRINGS BLVD, STERLING, VA 20166-2254
(347) 901-6037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024182463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024182463
VIRGINIA BOARD OF NURSING
VA
Enumeration date
08/30/2021
Last updated
08/30/2021
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