Odontuya N/A Dovdon Valid NPI
Individual provider · Family Nurse Practitioner · Dumfries, VA
- NPI
- 1336861988
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 0024185037 (VA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-09-12
- Last updated
- 2026-03-03
Practice location
3700 Fettler Park Dr
Dumfries, VA 22025-2050
(703) 441-7500