TATYANA ANATOLIA OMDAHL
NPI 1578812145
Specialist in Midlothian, VA

Active since August 29, 2012
13920 SAGEBROOK RD, MIDLOTHIAN, VA 23112(434) 247-1481 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tatyana Anatolia Omdahl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATYANA ANATOLIA OMDAHL (NPI 1578812145) is an individual specialist in Midlothian, Virginia, licensed in Virginia (2305204078) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1578812145
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTATYANA ANATOLIA OMDAHL
Location Address13920 SAGEBROOK RDMidlothian, VA 23112-4228
Mailing Address13920 Sagebrook RdMidlothian, VA 23112-4228 · (434) 247-1481
Sole ProprietorYes
Enumeration DateAugust 29, 2012
NPI 1578812145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in VA · 2305204078
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

13920 SAGEBROOK RD, Midlothian, VA 23112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578812145, enumerated as an "individual" on August 29, 2012.

The provider is located at 13920 SAGEBROOK RD MIDLOTHIAN, VA 23112 and the phone number is (434) 247-1481.

Specialist with taxonomy code 174400000X.