Amie B Mock PRN

NPI 1063583938 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1063583938
Gender Female
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2109 MCCOMAS WAY
SUITE 102
VIRGINIA BEACH VA, 23456-3909, US
Phone (757) 563-2800
Fax
Business Location
2109 MCCOMAS WAY
SUITE 102
VIRGINIA BEACH VA, 23456-3909, US
Phone (757) 563-2800
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024166220
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According to our database, Amie B Mock PRN NPI is 1063583938, taxonomy code is 363LF0000X and license number is 0024166220, license state is located at Virginia. Amie B Mock PRN physically located at 2109 Mccomas Way, Virginia Beach VA, 23456-3909. NPI Number Amie B Mock PRN has the Individual type.

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1063583938 NPI number is provided on an as is basis without warranty of any kind. 1063583938 is maintained by the National Plan & Provider Enumeration System. The contents of Amie B Mock PRN are for informational purposes only.