Organization · Type 2 NPI
Enlightened Healthcare, LLC
Psychiatric/Mental Health Nurse Practitioner · Manassas, VA
NPI number
1982522157
Active
Practice location
10119 Lomond Dr
Manassas, VA 20109
Fax (703) 361-9759
Mailing address
9890 Liberia Ave, 1162
Manassas, VA 20110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1982522157
Enlightened Healthcare, LLC's National Provider Identifier is 1982522157, issued on Jul 7, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manassas, VA. The record was last updated on Jul 7, 2026.