Individual
MS. MARY ANN KEARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
6465 COLLEGE PARK SQ, SUITE 210, VIRGINIA BEACH, VA 23464-3609
(757) 420-0530
(757) 420-0488
Mailing address
6465 COLLEGE PARK SQ, SUITE 210, VIRGINIA BEACH, VA 23464-3609
(757) 420-0530
(757) 420-0488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001342
VA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
0015000183
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060389
—
VA
Enumeration date
11/22/2006
Last updated
02/09/2015
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