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Individual

MS. RONI JEAN BRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
855 W BRAMBLETON AVE, NORFOLK, VA 23510-1005
(757) 446-5908
(757) 446-7055
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5908
(757) 446-7055

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024165878
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-033
TRICARE/CHAMPUS
VA
01
04298
BC/BS
NC
01
10030168N
SENTARA/OPTIMA HEALTH
VA
05
1194934810
VA
05
7004298
NC
01
PAR
CORVEL/CORCARE
VA
Enumeration date
05/21/2007
Last updated
10/15/2013
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