Individual
KIMBERLY C NICASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15195 HEATHCOTE BLVD STE 150, HAYMARKET, VA 20169-6243
(571) 636-6000
(571) 636-6010
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002502
VA
Other
Enumeration date
02/02/2009
Last updated
08/02/2021
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