Individual
ANGELA FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5712 BANNOCK RD, VIRGINIA BEACH, VA 23462-3904
(757) 646-9265
Mailing address
5712 BANNOCK RD, VIRGINIA BEACH, VA 23462-3904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179106
VA
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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