GUADALUPE CHICAS PORTILLO

ARLINGTON, VA
NPI1154029429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  2022137914)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0001227695)
Enumeration Date2023-02-16
Last Update Date2024-03-03
Business Address
GUADALUPE CHICAS PORTILLO AGACNP
1045 S EDISON ST
ARLINGTON, VA 22204-3220
Phone number: 571-289-9475
Mailing Address
GUADALUPE CHICAS PORTILLO AGACNP
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-4001