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Sai Diwakar Kuchibhotla, CNP
Nurse Practitioner in Manassas, Virginia
NPI 1548570039

Sai Diwakar Kuchibhotla is a Nurse Practitioner based in Atlanta, VA. Sai Diwakar Kuchibhotla practices in Manassas, VA and has the professional credentials of CNP. The NPI Number for Sai Diwakar Kuchibhotla is 1548570039 and holds a License No. COA.11893 (Virginia).

The current practice location address for Sai Diwakar Kuchibhotla is 8700 Sudley Rd, Manassas, VA and can be reached out via phone at 703-396-5292 and via fax at 703-396-5297. You can also correspond with Sai Diwakar Kuchibhotla through the mailing address at PO BOX 936952, ATLANTA, GA - 31193-6952 (mailing address contact number: 703-396-5292).

Location: 8700 Sudley Rd, Manassas, VA, 31193-6952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548570039
Provider Name
Sai Diwakar Kuchibhotla
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
8700 Sudley Rd, Manassas, VA, 31193-6952
Phone Number
703-396-5292
Fax Number
703-396-5297
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8700 Sudley Rd
City
Manassas
State
Virginia
Zip
20110-4418
Phone Number
703-396-5292
Fax Number
703-396-5297
person
Provider Business Mailing Address Details
Address
Po Box 936952
City
Atlanta
State
Georgia
Zip
31193-6952
Phone Number
703-396-5292
Fax Number
703-396-5297
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0024170558 (Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
COA.11893 (Ohio)
Definition
Definition to come...
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