Individual provider · Type 1 NPI
Flaviano Delacruz Dazo, F.N.P-C
Family Nurse Practitioner · Manassas, VA
NPI number
1720157829
Active
Practice location
9309 Centreville Road
Manassas, VA 20110
Fax (703) 365-0399
Mailing address
9309 Centreville Rd
Manassas, VA 20110-5132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024167153 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720157829
Flaviano Delacruz Dazo, F.N.P-C's National Provider Identifier is 1720157829, issued on Nov 6, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manassas, VA. The record was last updated on Jul 9, 2007.