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Individual

MRS. MIKAEL CHOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5125
(434) 924-5539
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024174605
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063952158
VA
Enumeration date
03/08/2017
Last updated
10/16/2020
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