Individual
MARGARET T WITTENBRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7101 JAHNKE RD, SUITE 500, RICHMOND, VA 23225-4017
(804) 320-2751
(804) 673-9218
Mailing address
7101 JAHNKE RD, SUITE 500, RICHMOND, VA 23225-4017
(804) 320-2751
(804) 673-9218
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
00024000017
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001104914
RN LICENSE
VA
01
—
00017136793
PRESCRIPTIVE AUTHORITY
VA
01
—
0024000017
NURSE PRACTITIONER LICENS
VA
05
—
1124041694
—
VA
Enumeration date
07/25/2006
Last updated
03/07/2023
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