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Davita Beasley
Family Nurse Practitioner in Chantilly, Virginia
NPI 1356720429

Davita Beasley is a Family Nurse Practitioner based in Chantilly, VA and is specialized in Family. Davita Beasley practices in Chantilly, VA. The NPI Number for Davita Beasley is 1356720429 and holds a License No. 17346 (Virginia).

The current practice location address for Davita Beasley is 14121 Parke Long Ct Ste 201, Chantilly, VA and can be reached out via phone at 513-223-8748.

Location: 14121 Parke Long Ct Ste 201, Chantilly, VA, 20151-1647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356720429
Provider Name
Davita Beasley
Credential
Provider Entity Type
Individual
Gender
Female
Address
14121 Parke Long Ct Ste 201, Chantilly, VA, 20151-1647
Phone Number
513-223-8748
Fax Number
Provider Enumeration Date
05/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14121 Parke Long Ct Ste 201
City
Chantilly
State
Virginia
Zip
20151-1647
Phone Number
513-223-8748
Fax Number
person
Provider Business Mailing Address Details
Address
14121 Parke Long Ct Ste 201
City
Chantilly
State
Virginia
Zip
20151-1647
Phone Number
513-223-8748
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
17346 (Ohio)
Definition
Definition to come...
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