Provider Demographics
NPI:1326433061
Name:PARDO, DANUSHCA (CRNP)
Entity type:Individual
Prefix:MS
First Name:DANUSHCA
Middle Name:
Last Name:PARDO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:DANI
Other - Middle Name:
Other - Last Name:PARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN APRN FNP-C
Mailing Address - Street 1:7523 RIO GRANDE WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-1968
Mailing Address - Country:US
Mailing Address - Phone:781-608-0757
Mailing Address - Fax:
Practice Address - Street 1:4131 OLD COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:ANNENDALE
Practice Address - State:VI
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:240-294-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR215992363LF0000X
VA0024176962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily