Individual
MR. TIMOTHY RYAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9000
Mailing address
1333 W BROAD ST APT 403, RICHMOND, VA 23220-3062
(585) 635-8023
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176335
VA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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