CORNITA MENTAL HEALTH AND MEDICAL SERVICES, LLC
Nursing at Worldgate Dr, Herndon, VA

License number
Virginia 0017137987
Category
Nursing
Type
Registered Nurse
License number
Virginia 0024165883
Category
Nursing
Type
Nurse Practitioner
License number
Virginia 0024165883
Category
Nursing
Type
Family
License number
Virginia 0024165883
Category
Nursing
Type
Psychiatric/Mental Health
Owner
Name: DR. CORDELIA NIEKETIEN-TAWARI DNP-LNP
Title: PRESIDENT/NURSE PRACTITIONER
Phone: (703) 869-5361
Address
Address 2
12801 Worldgate Dr, Herndon, VA 20170
42667 Freedom St, Fairfax, VA 20152
National Provider ID: 1134524580
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CORNITA MENTAL HEALTH AND MEDICAL SERVICES, LLC at bizstanding.com

Cornita Mental Health and Medical Services, LLC

12801 Worldgate Dr STE 500-525A, Herndon, VA 20170

Registration:
Oct 25, 2014
State ID:
S5294469
Business type:
Limited Liability Company
Agent:
Cordelia Nieketien-Tawari,42667 Freedom St, Chantilly, VA 20152

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