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Individual

BERNADETTE M. FOCAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.N.P

Contact information

Practice address
15237 CREATIVITY DR, CULPEPER, VA 22701
(540) 321-4281
(540) 321-4282
Mailing address
PO BOX 21975, BELFAST, ME 04915-4116
(540) 321-4281
(540) 321-4282

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166552
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245566751
VA
01
P02113117
RR MEDICARE
VA
01
VV0724C
MEDICARE
VA
Enumeration date
10/19/2009
Last updated
05/21/2019
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