Chantilly Wellness Group, LLC

NPI #1992541890 in Chantilly, Virginia

Provider Information

NPI Number
1992541890
Entity Type
Organization
Organization Name
Chantilly Wellness Group, LLC
Primary Specialty
Nurse Practitioner - Pediatrics
Enumeration Date
Jul 1, 2024
Last Updated
Apr 28, 2025

Practice Location

Address
4200A TECHNOLOGY CT
ZIP Code
20151-1214
Phone
(540) 709-1737

Authorized Official

Name
DR. EMILY DEROCCO, DC
Title
SECRETARY
Phone
(620) 504-2434

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology
Nurse Practitioner - PediatricsPediatrics

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