Provider Demographics
NPI:1053757336
Name:LENTZ, ANN C (FNP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:LENTZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 E PARHAM RD STE 304
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4306
Mailing Address - Country:US
Mailing Address - Phone:804-346-1551
Mailing Address - Fax:
Practice Address - Street 1:7650 E PARHAM RD STE 304
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4306
Practice Address - Country:US
Practice Address - Phone:804-346-1551
Practice Address - Fax:804-915-0035
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily