Individual
YEKATERINA M YEPIFANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 LAMB CIR, CHRISTIANSBURG, VA 24073-6347
(540) 639-5888
Mailing address
1789 MOUNTAINSIDE DR, BLACKSBURG, VA 24060-9201
(540) 314-6492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024187246
VA
Other
Enumeration date
05/01/2023
Last updated
05/31/2023
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