PLASTIC SURGERY ASSOCIATES OF TIDEWATER
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1528420429- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5818 HARBOUR VIEW BLVD SUITE 200, SUFFOLK, VA, 234353315
- Phone
- (757) 673-6000
- Fax
- (757) 673-6007
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: VA #0024173410