Individual provider · Type 1 NPI

Odontuya Purevsanga, NP-C

Adult Health Nurse Practitioner · Sterling, VA

NPI number 1811392103 Active

Practice location

2 Pidgeon Hill Drive, Suite 400
Sterling, VA 20165-6129

Fax (703) 444-9878

Mailing address

1050 N Taylor St Apt 408
Arlington, VA 22201-4774

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X201500384NP-PP (OR)
Adult Health Nurse Practitioner 363LA2200X4704288222 (MI)
Adult Health Nurse Practitioner Primary 363LA2200X0024175395 (VA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1811392103

Odontuya Purevsanga, NP-C's National Provider Identifier is 1811392103, issued on Oct 29, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Sterling, VA. The record was last updated on Jan 10, 2024.