Individual
BARBARA ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 E MARSHALL ST, ORTHOPAEDIC SURGERY, RICHMOND, VA 23298-5051
(804) 828-9296
Mailing address
PO BOX 980153, 1200 EAST BROAD ST., RICHMOND, VA 23291-1734
(804) 828-9296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001124998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010011221
—
VA
Enumeration date
10/02/2006
Last updated
11/12/2009
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