Individual
KIERRIAH CALLIER DORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-0314
(757) 225-3449
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148061
AL
163W00000X
Registered Nurse
2472837
MN
163W00000X
Registered Nurse
4704344323
MI
363L00000X
Nurse Practitioner
905181
MS
363LW0102X
Women's Health Nurse Practitioner
Primary
1-148061
AL
363LW0102X
Women's Health Nurse Practitioner
APRN11017591
FL
363LW0102X
Women's Health Nurse Practitioner
GAA-NP001530
GA
Other
Enumeration date
03/17/2020
Last updated
04/24/2026
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