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Angela S Goodson-acevedo
Family Nurse Practitioner in Chantilly, Virginia
NPI 1245745967

Angela S Goodson-acevedo is a Family Nurse Practitioner based in Chantilly, VA and is specialized in Family. Angela S Goodson-acevedo practices in Chantilly, VA. The NPI Number for Angela S Goodson-acevedo is 1245745967 and holds a License No. 209015423 (Virginia).

The current practice location address for Angela S Goodson-acevedo is 14121 Parke Long Ct, Chantilly, VA and can be reached out via phone at 571-449-3585.

Location: 14121 Parke Long Ct, Chantilly, VA, 20151-1647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245745967
Provider Name
Angela S Goodson-acevedo
Credential
Provider Entity Type
Individual
Gender
Female
Address
14121 Parke Long Ct, Chantilly, VA, 20151-1647
Phone Number
571-449-3585
Fax Number
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14121 Parke Long Ct
City
Chantilly
State
Virginia
Zip
20151-1647
Phone Number
571-449-3585
Fax Number
person
Provider Business Mailing Address Details
Address
14121 Parke Long Ct
City
Chantilly
State
Virginia
Zip
20151-1647
Phone Number
571-449-3585
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209015423 (Illinois)
Definition
Definition to come...
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