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Loverly Glaze Santos Pelayo
Gerontology Nurse Practitioner in Annandale, Virginia
NPI 1508337403

Loverly Glaze Santos Pelayo is a Gerontology Nurse Practitioner based in Annandale, VA and is specialized in Gerontology. Loverly Glaze Santos Pelayo practices in Annandale, VA. The NPI Number for Loverly Glaze Santos Pelayo is 1508337403 and holds a License No. 0017145514 (Virginia).

The current practice location address for Loverly Glaze Santos Pelayo is 3289 Woodburn Rd Ste 320, Annandale, VA and can be reached out via phone at 571-308-1830 and via fax at 571-308-1843. You can also correspond with Loverly Glaze Santos Pelayo through the mailing address at 3289 WOODBURN RD STE 320, ANNANDALE, VA - 22003-7354 (mailing address contact number: 571-308-1830).

Location: 3289 Woodburn Rd Ste 320, Annandale, VA, 22003-7354
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Provider Profile Details
NPI Number
1508337403
Provider Name
Loverly Glaze Santos Pelayo
Credential
Provider Entity Type
Individual
Gender
Female
Address
3289 Woodburn Rd Ste 320, Annandale, VA, 22003-7354
Phone Number
571-308-1830
Fax Number
571-308-1843
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0017145514 01 VA NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
3289 Woodburn Rd Ste 320
City
State
Zip
22003-7354
Phone Number
571-308-1830
Fax Number
571-308-1843
person
Provider Business Mailing Address Details
Address
3289 Woodburn Rd Ste 320
City
State
Zip
22003-7354
Phone Number
571-308-1830
Fax Number
571-308-1843
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
0017145514 (Virginia)
Definition
Definition to come...
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