Individual
MRS. MARY NOTTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1119 2ND ST SW, ROANOKE, VA 24016-4710
(540) 981-1246
Mailing address
1119 2ND ST SW, ROANOKE, VA 24016-4710
(540) 981-1246
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024060051
VA
Other
Enumeration date
03/30/2013
Last updated
03/30/2013
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