Individual
MS. BRENDA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1250 E MARSHALL ST, DERMATOLOGY, RICHMOND, VA 23298-5051
(804) 828-0300
(804) 560-8993
Mailing address
2600 GLASGOW AVE, STE 100, NEWARK, DE 19702-5703
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024130834
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00372859
RR MEDICARE
VA
Enumeration date
07/18/2006
Last updated
11/21/2017
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