Organization · Type 2 NPI
Cornita Mental Health Services, LLC
Psychiatric/Mental Health Nurse Practitioner · Reston, VA
NPI number
1134524580
Active
Practice location
1800 Town Center Dr Ste 420
Reston, VA 20190-3240
Fax (703) 957-3625
Mailing address
PO Box 2692
Reston, VA 20195-0692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0017137987 (VA) |
| Family Nurse Practitioner | 363LF0000X | 0024165883 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024165883 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Reston
About NPI 1134524580
Cornita Mental Health Services, LLC's National Provider Identifier is 1134524580, issued on Oct 28, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Reston, VA. The record was last updated on Mar 25, 2024.