Cantrell, Jan W

Cantrell, Jan W is an individual health care provider with primary practice located at 46440 Benedict Dr Ste 207, Sterling VA 20164-6602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cantrell, Jan W can be contacted via phone (703) 444-2100.

Contact Information

Primary practice address
46440 Benedict Dr Ste 207 Sterling VA 20164-6602
Phone: (703) 444-2100
Fax: (703) 444-0386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024164032 Virginia

Profile Details

NPI number 1386649663
LBN Legal business name Cantrell, Jan W
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386649663 NPPES
Virginia MEDICAID 1386649663

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