| NPI | 1467165571 |
|---|---|
| Doing Business As | AVESTA KETAMINE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LADAN ESHKEVARI CEO 703-201-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261Q00000X Clinic/Center | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |