NPI 1073275087

Eva Kathryn Light, CNA

Practitioner Nurse's Aide Manassas, VA

Practice location

Address: 8190 Snowfall Dr, Manassas, VA 20112-3709
Phone: (571) 621-2067

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 1401211512 (VA)

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Registry record

NPI: 1073275087
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2021
Record last updated: 6 Oct 2021

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.