Lora Nissen NP-C

NPI 1720416589 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1720416589
Gender Female
Enumeration Date 10/14/2013
Last Updated 10/14/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
4830 RUCKER RD
MONETA VA, 24121-5281, US
Phone (540) 297-7181
Fax
Business Location
100 LEEWARD DR
MONETA VA, 24121-2411, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024171207
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According to our database, Lora Nissen NP-C NPI is 1720416589, taxonomy code is 363LF0000X and license number is 0024171207, license state is located at Virginia. Lora Nissen NP-C physically located at 4830 Rucker Rd, Moneta VA, 24121-5281. NPI Number Lora Nissen NP-C has the Individual type.

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1720416589 NPI number is provided on an as is basis without warranty of any kind. 1720416589 is maintained by the National Plan & Provider Enumeration System. The contents of Lora Nissen NP-C are for informational purposes only.