Individual provider · Type 1 NPI
Tatyana Anatolia Omdahl
Specialist · Midlothian, VA
NPI number
1578812145
Active
Practice location
13920 Sagebrook Rd
Midlothian, VA 23112-4228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2305204078 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Midlothian
About NPI 1578812145
Tatyana Anatolia Omdahl's National Provider Identifier is 1578812145, issued on Aug 29, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Midlothian, VA. The record was last updated on Aug 29, 2012.