NPI 1003422163

Kusum Bhetwal

Practitioner Family Nurse Practitioner Glen Allen, VA

Practice location

Address: 12804 Westin Estates Drive, Glen Allen, VA 23059
Phone: (804) 382-5458

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 0024179682 (VA)

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Registry record

NPI: 1003422163
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2020
Record last updated: 23 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.