Plastic Surgery Associates of Tidewater
Plastic Surgery Associates of Tidewater is a Family Nurse Practitioner in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2016.
- Licensed in
- VA
- In the registry since
- 2016
Practice location Address checks out
5818 Harbour View Blvd Ste 200Suffolk, VA 23435-3315
Phone: (757) 673-6000
Fax: (757) 673-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 0024173410 (VA) |
|---|
Record details
| NPI number | 1528420429 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samantha Persson — Nurse Practitioner · (540) 493-7759 |
| NPI enumerated | March 22, 2016 |
| Last updated in NPPES | March 22, 2016 |
| Mailing address | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435-3315 |
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