Jan W Cantrell is a Pediatrics in Sterling, Virginia. Jan W Cantrell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jan W Cantrell is 1386649663. The last update date is 2011-03-03.
Jan W Cantrell's current location address is 46440 Benedict Dr, Sterling, Virginia. You can contact this provider via phone number 7034442100 and fax number 7034440386. The mailing address for Jan W Cantrell is 46440 Benedict Dr, Sterling, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan W Cantrell |
|---|---|
| Address | 46440 Benedict Dr, Sterling, Virginia |
| Phone Number | 7034442100 |
| Fax Number | 7034440386 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1386649663 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2011-03-03 |
Provider Mailing Address Detail
| Address | 46440 Benedict Dr |
|---|---|
| City | Sterling |
| State | Virginia (VA) |
| Post Code | 2016466020 |
| Phone Number | 7034442100 |
| Fax Number | 7034440386 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 24164032 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1386649663 | VA | -- |
Post Comment/ Review Below
What is the Jan W Cantrell's unique identification number?
The Jan W Cantrell has been assigned the NPI (National Provider Identifier) Number 1386649663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jan W Cantrell is physically located?
The Jan W Cantrell is physically situated at the following address: 46440 Benedict Dr, Sterling, VA, 2016466020.
What is the Jan W Cantrell's specialty and taxonomy code?
The Jan W Cantrell's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Jan W Cantrell receive its 1386649663 assignment from the Centers for Medicare & Medicaid Services?
The Jan W Cantrell was assigned its 1386649663 by the Centers for Medicare & Medicaid Services on 2005-06-14.
As of what date were the Jan W Cantrell's details last updated?
The information pertaining to the Jan W Cantrell, including its address, specialty, and other details, was most recently updated on 2011-03-03.