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Individual

ANNA GYURJYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
500 J. CLYDE MORRIS BLVD, BLD G, NEWPORT NEWS, VA 23601
(757) 594-3636
(757) 594-4310
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 594-3636
(757) 594-4310

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024165126
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-010
TRICARE/CHAMPUS
VA
05
010354153
VA
01
03878
BC/BS NC
NC
01
10012548N
SHP/OHP
VA
05
7003878
NC
01
PAR
USA MANAGED CARE
VA
Enumeration date
04/17/2006
Last updated
08/28/2024
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