Individual provider · Type 1 NPI

Davita Beasley

Family Nurse Practitioner · Chantilly, VA

NPI number 1356720429 Active

Practice location

14121 Parke Long Ct Ste 201
Chantilly, VA 20151-1647

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X17346 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1356720429

Davita Beasley's National Provider Identifier is 1356720429, issued on May 22, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chantilly, VA. The record was last updated on May 22, 2015.