Individual
GILDA NIKNEZHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4600
(757) 889-5735
(757) 889-5742
Mailing address
110 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4614
(757) 889-5735
(757) 889-5742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166613
VA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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