Individual
ALISON BURKHOLDER HEAVENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911
(434) 654-7580
(434) 654-7582
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(434) 654-7580
(434) 654-7582
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024174994
VA
Other
Enumeration date
06/22/2017
Last updated
08/30/2023
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