Individual
MONA KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 BREMO RD, SUITE 311, RICHMOND, VA 23226-1934
(804) 287-3550
(804) 281-7840
Mailing address
PO BOX 7, SUITE 311, QUINTON, VA 23141-0007
(804) 932-4388
(804) 932-1003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174035
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
10/03/2016
Last updated
03/20/2017
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