Jan W. Cantrell, CPNP

Pediatric Nurse Practitioner · Sterling, VA

Individual Active NPI

NPI number 1386649663

Practice location

46440 Benedict Dr
Ste 207
Sterling, VA 20164-6602
Phone
(703) 444-2100
Fax
(703) 444-0386

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NPI record

NPI
1386649663
Entity type
Individual (Type 1)
Enumeration date
June 14, 2005
Last updated
March 3, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 0024164032 VA

Mailing address

PO Box 17334
Baltimore, MD 21297-1334
Phone
(703) 443-6717
Fax
(703) 443-8643

About Jan Cantrell

Jan W. Cantrell, CPNP is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 46440 Benedict Dr, Ste 207, Sterling, VA 20164-6602. The NPI number 1386649663 was assigned on June 14, 2005 and the record was last updated on March 3, 2011.

Jan Cantrell lists a license in the registry: #0024164032 (VA) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jan W. Cantrell, CPNP?

The NPI number is 1386649663.

What is the phone number of Jan Cantrell?

The phone number listed for the practice location is (703) 444-2100.

Where is Jan Cantrell located?

46440 Benedict Dr, Ste 207, Sterling, VA 20164-6602.

What is the taxonomy code for Jan Cantrell?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.