Amber Nicole-antoinette Dise R.N.

NPI 1427345867 - Registered Nurse - 163W00000X

NPI Details
NPI 1427345867
Gender Female
Enumeration Date 07/06/2011
Last Updated 07/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
12572 PLYMOUTH CT
WOODBRIDGE VA, 22192-2321, US
Phone (703) 492-4740
Fax
Business Location
12572 PLYMOUTH CT
WOODBRIDGE VA, 22192-2321, US
Phone (703) 492-4740
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Virginia
License Number 0001179853
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According to our database, Mrs. Amber Nicole-antoinette Dise R.N. NPI is 1427345867, taxonomy code is 163W00000X and license number is 0001179853, license state is located at Virginia. Amber Nicole-antoinette Dise R.N. physically located at 12572 Plymouth Ct, Woodbridge VA, 22192-2321. NPI Number Amber Nicole-antoinette Dise R.N. has the Individual type.

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1427345867 NPI number is provided on an as is basis without warranty of any kind. 1427345867 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Nicole-antoinette Dise R.N. are for informational purposes only.