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Individual

MRS. MARIE B NAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3000 COLISEUM DR, STE. 200, HAMPTON, VA 23666-5963
(757) 736-7280
(757) 224-3541
Mailing address
3000 COLISEUM DR, STE. 200, HAMPTON, VA 23666-5963
(757) 736-7280
(757) 224-3541

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001181285
VA
363A00000X
Physician Assistant
Primary
0110003991
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
08/27/2012
Last updated
09/07/2012
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