Individual
KATHLEEN FOSS VALDIVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12200 WARWICK BLVD STE 290, NEWPORT NEWS, VA 23601-2344
(757) 534-5454
(757) 534-5491
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024177867
VA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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