NPI 1386649663 · live from the CMS NPI Registry
Jan W Cantrell, CPNP
Nurse Practitioner, Pediatrics in Sterling, VA. National Provider Identifier 1386649663, active.
NPI record
| NPI | 1386649663 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 46440 Benedict Dr, Ste 207, Sterling, VA 20164 |
| Practice phone | 703-444-2100 |
| Mailing address | Po Box 17334, Baltimore, MD 21297 |
| Enumerated | June 14, 2005 |
| Last updated | March 3, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024164032 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.