Doctor Name: | ANNU PRAHASH |
NPI Number: | 1225385628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 0024170213 |
Business Practice Address: | 575 Industrial Dr Louisa, VA - 230934146 |
Business Phone Number: | 5409672011 |
Business Fax Number: | 5409672982 |
Mailing Address: | Po Box 9007, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229069007 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024170213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |