Individual
ABENA TALIBAH IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2600 E PARHAM RD, RICHMOND, VA 23228-2932
(804) 262-2333
(804) 262-0848
Mailing address
2600 E PARHAM RD, RICHMOND, VA 23228-2932
(804) 262-2333
(804) 262-0848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024116568
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
01
—
C07050
GROUP PTAN
VA
Enumeration date
04/23/2007
Last updated
02/22/2012
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