Provider Demographics
NPI:1508533431
Name:NEW HORIZONS FAMILY CARE PLLC
Entity Type:Organization
Organization Name:NEW HORIZONS FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:NO
Authorized Official - Phone:516-509-0553
Mailing Address - Street 1:11401 WEEPING CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1566
Mailing Address - Country:US
Mailing Address - Phone:516-509-0553
Mailing Address - Fax:
Practice Address - Street 1:16021 KAIROS RD
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5208
Practice Address - Country:US
Practice Address - Phone:804-526-3821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty