MEDICARE: MRS. JANEIL S SENDI FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024188652	VA

General Provider Information

NPI Number	:	1699548289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANEIL S SENDI FNP

Provider Business Mailing Address
First Line	:	883 ANDALUSIA DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22308-1336
Country	:	US
Telephone Number	:	703-283-8406
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 S BALL ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4426
Country	:	US
Telephone Number	:	703-348-9111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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