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Individual

CAROL TAAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN MSN

Contact information

Practice address
3300 ACADEMY AVENUE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703
(757) 483-6404
(757) 483-0737
Mailing address
3300 ACADEMY AVENUE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703
(757) 483-6404
(757) 483-0737

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001050835
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
057455
ANTHEM
VA
05
7709510
VA
Enumeration date
11/01/2006
Last updated
07/08/2007
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