Individual
AMANDA GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1250 E MARSHALL ST, MAIN HOSPITAL 7TH FLOOR, RICHMOND, VA 23298-5051
(804) 439-1236
Mailing address
1250 E MARSHALL ST, MAIN HOSPITAL 7TH FLOOR, RICHMOND, VA 23298-5051
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024172959
VA
Other
Enumeration date
10/05/2015
Last updated
05/27/2025
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